Navigating Coronary Artery Disease in Aviation Cardiology in Australia and New Zealand

IF 2.2 4区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Heart, Lung and Circulation Pub Date : 2024-09-01 DOI:10.1016/j.hlc.2024.05.004
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引用次数: 0

Abstract

Background

Cardiologists will commonly assess patients who hold an aviation medical certificate and require unique assessments and communications with national civil aviation authorities (in Australia, the Civil Aviation Safety Authority [CASA] and in New Zealand, the Civil Aviation Authority of New Zealand [CAA NZ]). Cardiac conditions are the most common reason for disqualification from holding an aviation licence, and coronary artery disease is considered a high-risk condition for pilot incapacitation.

Aim

To provide a contemporary update on the aeromedical approach to the evaluation, detection, and management of coronary artery disease in an Australasian context.

Methods

A narrative view of current and historical practice in the area of aeromedical evaluation of coronary disease was undertaken.

Results

This review highlights the aeromedical approach to risk stratification and specific challenges of the aviation environment for patients with coronary artery disease. Scenarios of coronary artery disease screening, common and rare acute coronary syndromes, and the assessment of established coronary artery disease are examined in detail. Suggestions to facilitate communications between specialists and CASA or CAA NZ to facilitate patient re-certification are also provided.

Conclusion

Patients who are pilots have unique requirements in terms of their coronary assessment, management, and follow-up to maintain eligibility to fly. It is important for cardiologists to be aware of relevant occupational requirements to provide optimal care to their patients.

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澳大利亚和新西兰航空心脏病学中的冠状动脉疾病导航。
背景:心脏病专家通常会对持有航空医疗证书的患者进行评估,并需要进行独特的评估和与国家民航当局(澳大利亚民航安全局[CASA]和新西兰民航局[CAA NZ])进行沟通。心脏病是导致飞行员丧失飞行资格的最常见原因,而冠状动脉疾病被认为是导致飞行员丧失飞行能力的高风险疾病。目的:介绍在澳大拉西亚地区评估、检测和管理冠状动脉疾病的航空医学方法的最新进展:方法:对冠状动脉疾病航空医学评估领域的当前和历史实践进行叙述性分析:本综述强调了冠心病患者风险分层的航空医学方法和航空环境的特殊挑战。详细研究了冠状动脉疾病筛查、常见和罕见急性冠状动脉综合征以及已确诊冠状动脉疾病的评估等情况。此外,还提出了促进专家与 CASA 或 CAA NZ 之间沟通的建议,以方便患者重新获得认证:结论:飞行员患者在冠状动脉评估、管理和随访方面有独特的要求,以保持飞行资格。心脏病专家必须了解相关的职业要求,以便为患者提供最佳治疗。
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来源期刊
Heart, Lung and Circulation
Heart, Lung and Circulation CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
4.50
自引率
3.80%
发文量
912
审稿时长
11.9 weeks
期刊介绍: Heart, Lung and Circulation publishes articles integrating clinical and research activities in the fields of basic cardiovascular science, clinical cardiology and cardiac surgery, with a focus on emerging issues in cardiovascular disease. The journal promotes multidisciplinary dialogue between cardiologists, cardiothoracic surgeons, cardio-pulmonary physicians and cardiovascular scientists.
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