Overall, 206 patients experienced the composite outcome of fatal CHD, nonfatal heart attack, or unstable angina, the report indicates.
Job strain appeared to have little impact on the risk of recurrent CHD in the first 2 years after the index event. Beyond 2 years, however, chronic job strain was associated with a 2.2-fold increased risk of recurrent events. The rates of CHD events for subjects with and without chronic strain were 6.18 and 2.81 per 100 persons per year, respectively.
Even after adjusting for 26 potential confounding factors, chronic job strain appeared to double the risk of recurrent CHD.
"These results suggest that preventive interventions aimed at reducing stressful work might prevent further complications for people returning to work after a heart attack," Dr. Brisson said.
"This means that recommendations should not focus exclusively on the individual, for example, by promoting a healthy lifestyle, but should also take into account the person's work environment. We recommend that cardiologists and occupational health services be informed of this finding in order to reduce stressful work for those returning to work after a heart attack," she added.
Source-Medindia
GPL /J