OCCUPATION, TRAUMA, AND CARDIOVASCULAR DISEASE
Authors: J H ISAACS
Journal: Annals of Internal Medicine (1961)

Article1 February 1961OCCUPATION, TRAUMA, AND CARDIOVASCULAR DISEASEJULIEN H. ISAACS, M.D., F.A.C.P.JULIEN H. ISAACS, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-54-2-229 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptHeart disease, known or unsuspected, may be aggravated by the effort, stress, or strain associated with occupational duties and the conditions under which these duties are performed. These subjects have been discussed and evaluated by medical and legal committees throughout the world. Medical and legal authorities alike have a large area of disagreement regarding the extent of damage and the aggravation or acceleration of heart disease that can result from occupational exertion and stress.DEFINITIONSDiscussion of these problems necessitates definition of the terms "work," "effort," and "stress and strain." Occupational duties require work, effort, or exertion—that is, the expenditure...Bibliography1. Ehrlich H: The cardiac problem, "Appendix A" in the Report to the Honorable Averell Harriman, Governor of the State of New York, by Moreland Commissioner Joseph M. Callahan, covering Costs, Operations and Procedures under the Workmen's Compensation Law of the State of New York. Compens. Med. 9: 7, 1957. Google Scholar2. YaterWelshStapletonClark WMPPJFML: Comparison of clinical and pathologic aspects of coronary artery disease in men of various age groups: a study of 950 autopsied cases from the Armed Forces Institute of Pathology. Ann. Intern. Med., 34: 352, 1951. LinkGoogle Scholar3. Slipyan A: Effect of competitive industrial activity on severely disabled patients. J. A. M. A. 168: 147, 1958. CrossrefMedlineGoogle Scholar4. Washington State Heart Association Booklet: Employment of the Cardiac, 1956 (out of print). Google Scholar5. GoldwaterBronsteinKresky LJLHB: Returning cardiacs to work. American Heart Association, New York, 1952. Google Scholar6. Aronson SF: Effects of effort on the diseased heart; medicolegal implications. Northwest Med. 55: 54, 1956. MedlineGoogle Scholar7. Conference on Heart in Industry, New York City, reported in Medical Science 5: 458 (Apr. 10) 1959. Google Scholar8. Hellerstein H: The cardiac in industry, presented at the Los Angeles County Heart Association Symposium, Los Angeles, October, 1959. Google Scholar9. Russek HI: Role of heredity, diet and emotional stress in coronary heart disease. J. A. M. A. 171: 503, 1959. CrossrefMedlineGoogle Scholar10. Wolff HG: Life stress and cardiovascular disorders. Circulation 1: 187, 1950. CrossrefMedlineGoogle Scholar11. GertlerWhite MMPD: Coronary heart disease in young adults, multidisciplinary study, Cambridge, Mass., published for The Commonwealth Fund by Harvard University Press, p. 65, 1954. Google Scholar12. Wolf S: Cardiovascular reactions to symbolic stimuli. Circulation 18: 287, 1958. CrossrefMedlineGoogle Scholar13. Sprague HB (Editorial): Emotional stress and the etiology of coronary artery disease. Circulation 17: 1, 1958. CrossrefMedlineGoogle Scholar14. ParmaleyManionMattingly LFWCTW: Non-penetrating traumatic injury of the heart. Circulation 18: 371, 1958. CrossrefMedlineGoogle Scholar15. Hilmar W: Commotio cordis in expert testimony. München, med. Wchnschr. 99: 1730, 1957. MedlineGoogle Scholar16. HaleMartin HWJW: Myocardial contusion. Amer. J. Surg. 93: 558, 1957. CrossrefMedlineGoogle Scholar17. KahnKahn MHS: Cardiovascular lesions following injury to the chest. Ann. Intern. Med. 2: 1013, 1929. LinkGoogle Scholar18. BorodkinMassey HDFC: Myocardial trauma produced by non-penetrating chest injury. Amer. Heart J. 53: 795, 1957. CrossrefMedlineGoogle Scholar19. Hundt HJ: Electrocardiographic changes simulating cardiac infarction after electrical accident. Ztschr. f. Kreislaufforsch. 44: 941, 1955. MedlineGoogle Scholar20. AudierRuf MG: Cardiovascular disorders caused by electrical accidents. Semaine d. hôp., Paris 32: 666, 1956. MedlineGoogle Scholar21. KülbsStrauss FLH: Heart and trauma. Klin. Wchnschr. 11: 1572, 1932. CrossrefGoogle Scholar22. Schlomka G, cited by Mainzer, F.: Heart contusion and coronary disease. Cardiologia 16: 287, 1950. CrossrefMedlineGoogle Scholar23. Saphir O: Rupture of the heart by indirect trauma in a four year old boy. Amer. J. Med. Sci. 173: 353, 1927. CrossrefGoogle Scholar24. Kellert E: Traumatic rupture of the heart. J. Lab. Clin. Med. 2: 726, 1917. Google Scholar25. Hass GM: Types of internal injuries of personnel involved in aircraft accidents. J. Aviation Med. 15: 77, 1944. Google Scholar26. Sigler LH: Traumatic injury of the heart; incidence of its occurrence in forty-two cases of severe accidental bodily injury. Amer. Heart J. 30: 460, 1945. Google Scholar27. Sprague H: The effect of trauma and strain on the production and aggravation of heart disease. Bull. New York Acad. Med. 23: 631, 1947. MedlineGoogle Scholar28. BestTaylor CHNB: Physiological basis of medical practice, 5th Ed., The Williams and Wilkins Company, Baltimore, 1950. Google Scholar29. Wood P: Diseases of the heart and circulation, J. B. Lippincott Co., Philadelphia. 1957. Google Scholar30. WolfWolff SHG: Experimental evidence for hypertension, in Hypertension: a symposium, edited by E. T. Bell, University of Minnesota Press, Minneapolis. 1951. Google Scholar31. FraserChapman RSCB: Studies on the effect of exercise on cardiovascular function. II. The blood pressure and pulse rate. Circulation 9: 193, 1954. CrossrefMedlineGoogle Scholar32. StevensonDuncanFlynnWolf IPCHJTS: Hypertension as a reaction pattern to stress. Correlation of circulatory hemodynamics with changes in the attitude and emotional state, Amer J. Med. Sci. 224: 286, 1952. CrossrefMedlineGoogle Scholar33. HarrisSokolowCarpenterKalis RMLGBL: Consistency of response to psychologic stress in prehypertensives and in patients with essential hypertension. Circulation 12: 719, 1955. Google Scholar34. Pickering GW: High blood pressure, Grune and Stratton, New York. 1955. Google Scholar35. KalisHarrisSokolowCarpenter BLREMLG: Response to psychologic stress in patients with essential hypertension. Amer. Heart J. 53: 572, 1957. CrossrefMedlineGoogle Scholar36. LevyWhiteStroudHillman RLPDWDCC: Transient hypertension; the relative prognostic importance of various systolic and diastolic levels. J. A. M. A. 128: 1059, 1945. CrossrefGoogle Scholar37. Heinze G: Forms of hypertension caused by trauma. Med. Klin. 52: 1331, 1957. MedlineGoogle Scholar38. Guide for establishing causal relationships between trauma or strain and heart disease. Recommendations of the Committee on Workmen's Compensation of the Washington State Heart Association. Northwest Med. 55: 55, 1956. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Beverly Hills, California*Received for publication March 22, 1960.From the Department of Cardiology, University of Southern California School of Medicine.Requests for reprints should be addressed to Julien H. Isaacs, M.D., 9735 Wilshire Boulevard, Beverly Hills, California. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPsychological Factors Involved in Cardiac RehabilitationCoronaries and Compensation 1 February 1961Volume 54, Issue 2Page: 229-243KeywordsCardiovascular diseasesCardiovascular therapy Issue Published: 1 February 1961 PDF downloadLoading ...