Coronary artery disease in the military patient

被引：8

作者：

Parsons, Iain ^{[1
]}

White, S. ^{[2
]}

Gill, R. ^{[3
]}

Gray, H. H. ^{[4
]}

Rees, P. ^{[5
]}

机构：

[1] Royal Brompton & Harefield NHS Fdn Trust, Dept Crit Care, London SW3 6NP, England

[2] Univ Hosp, Dept Cardiol, Birmingham NHS Fdn Trust, Birmingham, W Midlands, England

[3] Queen Elizabeth Mem Hlth Ctr, Dept Reg Occupat Hlth, Tidworth, Hants, England

[4] Univ Hosp, Southampton NHS Fdn Trust & Civilian Consultant A, Dept Cardiol, Southampton, Hants, England

[5] Barts Hlth NHS Trust & Acad, Dept Cardiol, Dept Mil Med, London, England

来源：

JOURNAL OF THE ROYAL ARMY MEDICAL CORPS | 2015年 / 161卷 / 03期

关键词：

ACUTE MYOCARDIAL-INFARCTION; FRACTIONAL FLOW RESERVE; ST-SEGMENT ELEVATION; COMPUTED-TOMOGRAPHY ANGIOGRAPHY; SUDDEN CARDIAC DEATH; TROPONIN-T ASSAY; UK ARMED-FORCES; THROMBOLYTIC THERAPY; PRIMARY ANGIOPLASTY; HEART-DISEASE;

D O I：

10.1136/jramc-2015-000495

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Ischaemic heart disease is the most common cause of sudden death in the UK, and the most common cardiac cause of medical discharge from the Armed Forces. This paper reviews current evidence pertaining to the diagnosis and management of coronary artery disease from a military perspective, encompassing stable angina and acute coronary syndromes. Emphasis is placed on the limitations inherent in the management of acute coronary syndromes in the deployed environment. Occupational issues affecting patients with coronary artery disease are reviewed. Consideration is also given to the potential for coronary artery disease screening in the military, and the management of modifiable cardiovascular disease risk factors, to help decrease the prevalence of coronary artery disease in the military population.

引用

页码：211 / 222

页数：12

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