Re-initiating professional working activity after myocardial infarction in primary percutaneous coronary intervention networks era
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Sestre Milosrdnice University Hospital Centre, Zagreb, Croatia (Cardiac Intensive Care Unit)
University of Zagreb, Zagreb, Croatia (School of Medicine)
Zabok General Hospital, Zabok, Croatia (Department of Internal Medicine)
University of Zagreb, Zagreb, Croatia (Faculty of Kinesiology)
Sestre Milosrdnice University Hospital Centre, Zagreb, Croatia (Department for Invasive Cardiac Care)
University of Zagreb, Zagreb, Croatia (Faculty of Dental Medicine)
Int J Occup Med Environ Health 2015;28(6):999–1010
Objectives: To investigate the aspects of return to work, socio-economic and quality of life aspects in 145 employed patients under 60 years of age treated with primary percutaneous coronary intervention for acute ST-elevation myocardial infarction. Material and Methods: During hospital treatment demographic and clinical data was collected. Data about major adverse cardiovascular events, rehabilitation, sick leave, discharge from job and retirement, salary, major life events and estimation of quality of life after myocardial infarction were obtained after follow-up (mean: 836±242 days). Results: Average sick leave was 126±125 days. Following myocardial infarction, 3.4% of patients were discharged from their jobs while 31.7% retired. Lower salary was reported in 17.9% patients, major life events in 9.7%, while 40.7% estimated quality of life as worse following the event. Longer hospitalization was reported in patients transferred from surrounding counties, those with inferior myocardial wall and right coronary artery affected. Age, hyperlipoproteinemia and lower education degree were connected to permanent working cessation. Significant salary decrease was observed in male patients. Employer type was related to sick leave duration. Impaired quality of life was observed in patients who underwent in-hospital rehabilitation and those from surrounding counties. Longer sick leave was observed in patients with lower income before and after myocardial infarction. These patients reported lower quality of life after myocardial infarction. Conclusions: Inadequate health policy and delayed cardiac rehabilitation after myocardial infarction may lead to prolonged hospitalization and sick leave as well as lower quality of life after the event, regardless of optimal treatment in acute phase of disease.
Marin Pavlov   
Sestre Milosrdnice University Hospital Centre, Cardiac Intensive Care Unit, Vinogradska 29, 10000 Zagreb, Croatia