Occupation and cardiovascular disease - Review and case discussions

T. C. Su, C. L. Du, Jung-Der Wang

Research output: Contribution to journalArticlepeer-review

Abstract

The rapid industrialization plays an important role in the economic development of Taiwan during past forty years. It is true that environmental and occupational disease frequently accompanied the industrial development, but was often neglected. The clinical presentations of occupational heart disease include cardiac arrhythmia, coronary heart disease (CHD), atherosclerosis and sudden death. Physical and chemical agents, which include carbon disulfide, nitroglycerine, ethylene glycol dinitrate, carbon monoxide, halogenated hydrocarbons, passive smoking, and some heavy metals (lead, cobalt, arsenic, etc.), physical inactivity, noise, excessive heat, and excessive cold have been reported to be associated with occupational diseases. Stress and shift work are recently reported psychosocial factors to be related to cardiovascular diseases. As hypertension, diabetes, hypercholesterolemia, smoking, aged, obese, and family history of premature CHD are recognized as the major risk factors of CHD. It is usually difficult to clarify the causal relationship of occupational exposure and development of CHD. However, we can still prevent the occurence of occupational cardiovascular disease through better understanding of the pathophysiology and proactively improve the work environment. The definition of stress and its role in the workmen compensation of occupationally related myocardial infarction and/or stroke should be periodically reviewed to accord with ethic principle of justice.

Original languageEnglish
Pages (from-to)47-53
Number of pages7
JournalJournal of Internal Medicine of Taiwan
Volume12
Issue number2
Publication statusPublished - 2001 Jan 1

All Science Journal Classification (ASJC) codes

  • Internal Medicine

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