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Aviation cardiology

Todd R Fredricks, Jeffrey S Benseler
BACKGROUND: Bicuspid aortic valve disease (BAV) is the most common cardiac valve pathology. BAV is associated with aortic root disorders. The literature has few case reports identifying this condition during routine physical exam. CASE REPORT: A 42-yr-old military reservist flight medic presented for his annual military flight physical. He was found to have a faint cardiac murmur. His past family and medical history were remarkable for familial essential hypertension and being told at age 9 that he had a "murmur...
May 2016: Aerospace Medicine and Human Performance
A J Pavitt, C W Pavitt, K Harron, M Jones, A C Timperley, A N C Reid, D Mcloughlin, J d'Arcy, E D Nicol
OBJECTIVES: To assess the clinical, occupational and financial outcomes of a new Clinical Aviation Medicine Service (CAMS) for UK military personnel. METHODS: Consecutive patients over a 2 year period were included. Predictors of flying restrictions at referral and final outcome following consultation were modelled using logistic regression. National Health Service (NHS) Payment by Results tariffs and Defence capitation data were used to assess the financial impact of the service...
May 2016: QJM: Monthly Journal of the Association of Physicians
Alys H Hunter, A T Cox, J D'Arcy, M Rooms, A J Camm
Atrial fibrillation (AF) is the most common sustained atrial arrhythmia, and increases an individual's risk of morbidity and mortality from cardiovascular and thromboembolic events. In this article, we review the pathophysiology and clinical presentations of AF and describe appropriate investigations and management likely to be appropriate for a military population, in line with current National Institute for Health and Care Excellence and European Society of Cardiology guidelines. The implications for the individual's Medical Employment Standard in the UK Armed Forces, with specific reference to specific military occupational activities such as aviation, diving and driving occupationally, are also reviewed...
September 2015: Journal of the Royal Army Medical Corps
Scott Sakaguchi, Huagui Li
When advising a syncope patient about resumption of driving, flying or vocational activities, physicians must consider relevant laws and regulations, the etiology of the syncope, and the risk of recurrence and the impact of recurrence on the safety of the patient and others. Guidelines from professional cardiology societies may aid the physician. In the United States, private driving is regulated by individual states and their laws show significant variance. Commercial driving and flying are regulated at the federal level...
January 2013: Progress in Cardiovascular Diseases
W Voelker, S Maier, B Lengenfelder, W Schöbel, J Petersen, A Bonz, G Ertl
Currently, more than 800,000 diagnostic procedures and 300,000 percutaneous coronary interventions are performed annually in 556 catheter laboratories in Germany. These numbers document the importance of training programs in interventional cardiology. However, this need is in sharp contrast to the time constraints for continuing medical education in Germany due to personnel and financial restrictions. A possible solution for this dilemma could be new training programs which partially supplement conventional clinical training by simulation-based medical education...
August 2011: Herz
Thomas Syburra, Hans Schnüriger, Barbara Kwiatkowski, Kirk Graves, Oliver Reuthebuch, Michele Genoni
BACKGROUND AND AIM OF THE STUDY: Bicuspid aortic valve is the most common congenital heart malformation, and a high percentage of patients with this condition will develop complications over time. It is rare that pilots undergo aortic valve surgery, and the confirmation of flight-licensing requirements after aortic valve replacement (AVR) is a challenge for the patient's cardiac surgeon and, particularly, for the Aeromedical Examiner (AME). Only AMEs are able to determine the flight status of pilots...
May 2010: Journal of Heart Valve Disease
John D Carroll, John C Messenger
Medical simulation is a new method to facilitate skill training and assessment. Simulation has achieved a high degree of sophistication in aviation and other fields. However, the complexity of health care, the numerous stakeholders, and the lack of central control of medical education have been barriers to the development and broad implementation of medical simulation. Acceptance by the medical community is growing, with the publication of scientific validation studies, the development of economic models and funding, and the integration of simulation into existing curricula and training programs...
2008: Perspectives in Biology and Medicine
Ioan Mircea Coman
Most cardiologists rarely remember that new ideas dedicated initially to completely different areas, are the technological background of most medical devices. Also, they almost ignore the bright minds beyond these ideas. The Coandă effect, vital in the color-Doppler assessment of valvular regurgitations with eccentric jets--bears the name of a Romanian inventor whose life (1886-1972) was mostly dedicated to aeronautics and who is considered the 'father' of jet engines. His fluid dynamics discovery was patented in 1934, but its importance for medical applications was recognized much later...
April 2007: Journal of Cardiovascular Medicine
Julia Köbe, Rainer Gradaus, Sven Zumhagen, Dirk Böcker
Patients with an implantable cardioverter defibrillator (ICD) may experience loss of consciousness. Electromagnetic interference (EMI) may trigger undesired or inhibit necessary therapy in patients with an ICD. Therefore, questions about personal or professional activities for ICD patients arise. Restricting driving or other personal activities has adverse effects on the patient's quality of life. The national Societies of Cardiology provide recommendations for ICD patients concerning driving of motor vehicles...
November 2005: Herz
Devin P Beckstrand
A USAF transport pilot was referred to the Aeromedical Consult Service for a cardiology work-up. During his evaluation for an abnormal treadmill, a chest X-ray showed a probable pulmonary arteriovenous malformation (PAVM). A CT scan of his chest and a shunt study confirmed this diagnosis. The aviator was referred for treatment and later underwent successful balloon embolization therapy. A discussion of PAVM presentation, diagnosis, treatment, and aeromedical aspects follows.
July 2004: Aviation, Space, and Environmental Medicine
Sally A Evans, John N C Cooke
INTRODUCTION: In 1997 an autopsy on a professional pilot killed in an aircraft accident demonstrated myocardial fibrosis, thought to be the result of previous anthracycline treatment. The United Kingdom (UK) Civil Aviation Authority (CAA) was tasked with investigating the possible dangers to flight safety of treatment with this type of chemotherapy. METHODS: From CAA computer records of 18,319 professional license holders, 14 were identified as having received anthracycline treatment...
September 2003: Aviation, Space, and Environmental Medicine
M Joy
Aviation is the only system of mass transportation regulated by international statute. The responsible agency is the International Civil Aviation Organization (ICAO), a safety directorate of the United Nations Organization. In 1995 almost 1-3 billion passengers were carried by the airlines of the world, the previous decade having seen a 50% growth in the number of passengers and the amount of freight carried. The total complement of professional pilots world-wide is approximately 455,000, although a significantly greater number of licence holders are involved in private or recreational flying...
April 1999: European Heart Journal Supplements: Journal of the European Society of Cardiology
R J Bing
No abstract text is available yet for this article.
July 1999: Clinical Cardiology
M Joy
No abstract text is available yet for this article.
April 1999: European Heart Journal
R Gregurek, H Vukusić, G Tocilj
This investigation was performed in Zagreb and its surroundings in 1991 and 1992 during the war against Croatia. The study included 50 civilians who, at the moment of the sounding of the air-raid siren, had a continuous electrocardiogram recorded as part of the routine cardiologic examination. The frequency of the pulse was read out from the electrocardiogram at four different times: before the sounding of the siren, the moment of the sounding of the siren, the moment of cessation of the alert, and 1 hour afterward...
December 1998: Military Medicine
M A Khan, F K Amroliwalla
This article proposes guidelines and recommendations for aeromedical disposal of military aviators after revascularization procedures for the treatment of stable obstructive coronary artery disease. A highly selected group of military aviators with a low risk of future cardiac events after successful angioplasty for single vessel disease or bypass surgery are reasonably safe for restricted flying duties. This is provided there is no past history of infarction, the aviators are free from subjective or objective evidence of myocardial ischemia on exercise electrocardiography (+/- stress thalium scan stress echocardiography), angiography shows no more than 30% lumen narrowing in major epicardial vessels and provided the ejection fraction is more than 50%...
February 1996: Aviation, Space, and Environmental Medicine
L Kuncheva
A two-level classifier for medical applications is considered. Such classifiers are expected to yield a more precise result than classical one-level classifiers. The underlying idea for two-level classification is supported by the routine practice of physicians to confirm the diagnosis by several data-driven inferences. An overview of the types of the two-level classifiers is presented. The competitive two-level classifier is emphasized. Three examples with real clinical data are presented from the fields of cardiology, aviation medicine, and neonatology...
May 1993: International Journal of Bio-medical Computing
V N Preobrazhenskiĭ, V A Chviakin, A A Matveev, V M Merkulov
Among diseases causing pilot disqualification ahead of time the cardiovascular disorders amount to 60 percent. In this connection there has been generalized the experience of examining the Armed Forces Aviation pilots with cardiovascular disorders beginning from 1979 when by the order of the Ministry of Defence N 220 the Regulations of Aeromedical Examination of pilots have been come into force. The features of examining the pilots with cardiovascular disorders are presented. The present-day methods for the instrumental examination which have been tested in cardiology are systematized in an effort to use them during aeromedical examinations of the pilots...
1995: Aviakosmicheskaia i Ekologicheskaia Meditsina, Aerospace and Environmental Medicine
G S Uhl, T N Kay, J R Hickman, M A Montgomery, G M McGranahan
Thallium-201 exercise myocardial perfusion scintigraphy was accomplished in 130 aircrew members prior to their undergoing coronary angiography. Most were undergoing cardiac catheterization for an abnormal exercise response to treadmill testing. Of these, 22 men had arteriographic evidence of obstructive coronary disease of at least 50% narrowing in a single vessel. All had abnormal myocardial scintigrams. There were 12 other aviators who had minimal degrees of coronary artery disease with lesions less than 50% as the maximum degree of obstruction...
November 1980: Aviation, Space, and Environmental Medicine
Iu N Tokarev, E M Panova
No abstract text is available yet for this article.
June 1968: Voenno-medit︠s︡inskiĭ Zhurnal
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