Yıl: 2014 Cilt: 14 Sayı: 2 Sayfa Aralığı: 150 - 154 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Clinical features of aviators with coronary artery disease diagnosed by multislice CT angiography

Öz:
Objective: Coronary artery disease (CAD) is one of the most incapacitating causes at military or civilian aviation. Aircrew population is crowding in number in our country. We aimed to identify the clinical features that could predict CAD in aircrew. Methods: We retrospectively analyzed medical recordings of 26 aircrew (age 43.57±5.2) whose CAD was diagnosed via multislice computerized tomography angiography (MSCT). Clinical features, coronary risk factors and ST segment and T wave changes on resting ECG and treadmill test (TT), and laboratory findings of aircrew were recorded. Results: ST depression <0.05 mV and minimally inversion (<0.03 mV) of T wave were found on 53.8% and 23.1% of resting ECG, respectively. 53.8% of patients had the family history of CAD. 73.1% of subjects were overweight. Family history was correlated with CAD and its type (p=0.023). 76.9% and 23.1% of the subjects had equivocal and positive result on TT, respectively. Presence of hypertension, hyperlipidemia, and smoking were lower and diabetes was absent. Additionally, subjects with two or more vessel disease were observed slightly older compared to those with one vessel disease (45.5±3.8 vs. 42.2±5.5, p=0.101). Conclusion: Aircrew &#8805;40 years old, with family history, ST/T changes on resting ECG, and equivocal results on TT even in the absence of multiple coronary risk factors may need further cardiovascular tests. MSCT is an effective and noninvasive way of detection of CAD in aircrew when needed. (Anadolu Kardiyol Derg 2014; 14: 150-4)
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  • 1. Bennett G. Pilot incapacitation and aircraft accidents. Eur Heart J 1988; 9: 21-4. [CrossRef]
  • 2. Tunstall-Pedoe H. Risk of a coronary heart attack in the normal population and how it might be modified in flyers. Eur Heart J 1984; 5: 43-9. [CrossRef]
  • 3. Booze CF Jr, Staggs CM. A comparison of postmortem coronary atherosclerosis findings in general aviation pilot fatalities. Aviat Space Environ Med 1987; 58: 297-300.
  • 4. Taneja N, Wiegman DA. Prevalence of cardiovascular abnormalities in pilots involved in fatal general aviation airplane accidents. Aviat Space Environ Med 2002; 73: 1025-30. Epstein AE, Miles WM, Benditt DG, Camm AJ, Darling EJ, Friedman PL, et al. Personal and public safety issues related to arrhythmias that may affect consciousness: implications for regulation and physician recommendations. A medical/scientific statement from the American Heart Association and the North American Society of Pacing and Electrophysiology. Circulation 1996; 94: 1147-66. [CrossRef]
  • Houston S, Mitchell S, Evans S. Prevalence of cardiovascular disease risk factors among UK commercial pilots. Eur J Cardiovasc Prev Rehabil 2011; 18: 510-7. [CrossRef]
  • Darrow MD. Order and understanding the exercise stress test. Am Fam Physician 1999; 59: 401-10.
  • Houston S, Mitchell S, Evans S. Application of a cardiovascular disease risk prediction model among commercial pilots. Aviat Space Environ Med 2010; 81: 768-73. [CrossRef]
  • Mantziari L, Styliadis C, Kourtidou-Papadeli C, Styliadis I. Arrhythmias, sudden cardiac death and incapacitation of pilots. Hippokratia 2008; 12: 53-8.
  • Arva P Wagstaff AS. Medical disqualification of 275 commercial , pilots: changing patterns over 20 years. Aviat Space Environ Med 2004; 75: 791-4.
  • Blair RE. Coronary artery disease in a young USAF pilot: screening for premature atherosclerosis. Mil Med 2000; 175: 688-90. [CrossRef]
  • Osswald S, Miles R, Nixon W, Celio P Review of cardiac events in . USAF aviators. Aviat Space Environ Med 1996; 67: 1023-7.
  • Ohrui N, Hisada T, Tsujimoto Y, Shinto E, Sakurai Y, Fukushima K, et al. Decadal electrocardiographic changes between age 40 and 50 in military pilots. Aviat Space Environ Med 2011; 82: 904-8. [CrossRef]
  • Hampton JR. The importance of minor abnormalities in the resting electrocardiogram. Eur Heart J 1984; 5: 61-3. [CrossRef]
  • Kumar A, Lloyd-Jones DM. Clinical significance of minor nonspecific ST-segment and T-wave abnormalities in asymptomatic subjects: a systematic review. Cardiol Rev 2007; 15: 133-42. [CrossRef]
  • Rumana N, Turin TC, Miura K, Nakamura Y, Kita Y, Hayakawa T, et al; NIPPON DATA80 Research Group. Prognostic value of ST-T abnormalities and left high R waves with cardiovascular mortality in Japanese (24-year follow-up of NIPPON DATA80). Am J Cardiol 2011; 107: 1718-24. [CrossRef]
  • Fischer S. Cardiac CT takes off. Medical Solutions 2007: 62-7.
  • Schuijf JD, Bax JJ, Shaw LJ, de Roos A, Lamb HJ, van der Wall EE, et al. Meta-analysis of comparative diagnostic performance of magnetic resonance imaging and multislice computed tomography for non-invasive coronary angiography. Am Heart J 2006; 151: 404-11. [CrossRef]
  • Mowatt G, Cummins E, Waugh N, Walker S, Cook J, Jia X, et al. Systematic review of the clinical effectiveness and cost- effectiveness of 64-slice or higher computed tomography angiography as an alternative to invasive coronary angiography in the investigation of coronary artery disease. Health Technol Assess 2008; 12: 3-4, 9-143.
APA Erdal M, APARCI M, IŞILAK Z, ARSLAN Z, ÜNLÜ M, BOZLAR U (2014). Clinical features of aviators with coronary artery disease diagnosed by multislice CT angiography. , 150 - 154.
Chicago Erdal Muhammed,APARCI Mustafa,IŞILAK Zafer,ARSLAN Zekeriya,ÜNLÜ Murat,BOZLAR UGUR Clinical features of aviators with coronary artery disease diagnosed by multislice CT angiography. (2014): 150 - 154.
MLA Erdal Muhammed,APARCI Mustafa,IŞILAK Zafer,ARSLAN Zekeriya,ÜNLÜ Murat,BOZLAR UGUR Clinical features of aviators with coronary artery disease diagnosed by multislice CT angiography. , 2014, ss.150 - 154.
AMA Erdal M,APARCI M,IŞILAK Z,ARSLAN Z,ÜNLÜ M,BOZLAR U Clinical features of aviators with coronary artery disease diagnosed by multislice CT angiography. . 2014; 150 - 154.
Vancouver Erdal M,APARCI M,IŞILAK Z,ARSLAN Z,ÜNLÜ M,BOZLAR U Clinical features of aviators with coronary artery disease diagnosed by multislice CT angiography. . 2014; 150 - 154.
IEEE Erdal M,APARCI M,IŞILAK Z,ARSLAN Z,ÜNLÜ M,BOZLAR U "Clinical features of aviators with coronary artery disease diagnosed by multislice CT angiography." , ss.150 - 154, 2014.
ISNAD Erdal, Muhammed vd. "Clinical features of aviators with coronary artery disease diagnosed by multislice CT angiography". (2014), 150-154.
APA Erdal M, APARCI M, IŞILAK Z, ARSLAN Z, ÜNLÜ M, BOZLAR U (2014). Clinical features of aviators with coronary artery disease diagnosed by multislice CT angiography. Anadolu Kardiyoloji Dergisi, 14(2), 150 - 154.
Chicago Erdal Muhammed,APARCI Mustafa,IŞILAK Zafer,ARSLAN Zekeriya,ÜNLÜ Murat,BOZLAR UGUR Clinical features of aviators with coronary artery disease diagnosed by multislice CT angiography. Anadolu Kardiyoloji Dergisi 14, no.2 (2014): 150 - 154.
MLA Erdal Muhammed,APARCI Mustafa,IŞILAK Zafer,ARSLAN Zekeriya,ÜNLÜ Murat,BOZLAR UGUR Clinical features of aviators with coronary artery disease diagnosed by multislice CT angiography. Anadolu Kardiyoloji Dergisi, vol.14, no.2, 2014, ss.150 - 154.
AMA Erdal M,APARCI M,IŞILAK Z,ARSLAN Z,ÜNLÜ M,BOZLAR U Clinical features of aviators with coronary artery disease diagnosed by multislice CT angiography. Anadolu Kardiyoloji Dergisi. 2014; 14(2): 150 - 154.
Vancouver Erdal M,APARCI M,IŞILAK Z,ARSLAN Z,ÜNLÜ M,BOZLAR U Clinical features of aviators with coronary artery disease diagnosed by multislice CT angiography. Anadolu Kardiyoloji Dergisi. 2014; 14(2): 150 - 154.
IEEE Erdal M,APARCI M,IŞILAK Z,ARSLAN Z,ÜNLÜ M,BOZLAR U "Clinical features of aviators with coronary artery disease diagnosed by multislice CT angiography." Anadolu Kardiyoloji Dergisi, 14, ss.150 - 154, 2014.
ISNAD Erdal, Muhammed vd. "Clinical features of aviators with coronary artery disease diagnosed by multislice CT angiography". Anadolu Kardiyoloji Dergisi 14/2 (2014), 150-154.