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View article: Prevalence and severity of coronary artery disease in asymptomatic military air crew in the Netherlands: a prospective, cross-sectional study (SUSPECT)
Prevalence and severity of coronary artery disease in asymptomatic military air crew in the Netherlands: a prospective, cross-sectional study (SUSPECT) Open
Objective Coronary artery disease (CAD) is a main cause of incapacitating adverse cardiac events in aviation. Military aircrew ≥40 years in the Netherlands undergo a 5-year exercise ECG (X-ECG), which lacks precision to identify relevant C…
View article: Screening for coronary artery disease using primary evaluation with coronary CTA in aviation medicine (SUSPECT): study design
Screening for coronary artery disease using primary evaluation with coronary CTA in aviation medicine (SUSPECT): study design Open
Background: Sudden in-flight incapacitation of aircrew may cause an airplane crash. Important causes are major adverse cardiac events, such as myocardial infarction and sudden cardiac arrest. Aircrew of the Royal Netherlands Air Force (RNL…
View article: SCUBA Diving in Adult Congenital Heart Disease
SCUBA Diving in Adult Congenital Heart Disease Open
Conventionally, scuba diving has been discouraged for adult patients with congenital heart disease (ACHD). This restrictive sports advice is based on expert opinion in the absence of high-quality diving-specific studies. However, as surviv…
View article: Vaccines and variants: an update on cardiopulmonary assessment prior to return to high-hazard occupations following COVID-19
Vaccines and variants: an update on cardiopulmonary assessment prior to return to high-hazard occupations following COVID-19 Open
View article: The Presence of Left Ventricular False Tendons is Not Associated with Increased Arrhythmogenic Risk in Highly Active Subjects.
The Presence of Left Ventricular False Tendons is Not Associated with Increased Arrhythmogenic Risk in Highly Active Subjects. Open
Background Left ventricular false tendons (LVFTs) are common. There is conflicting evidence whether LVFTs have clinically important electrophysiological effects. The aim of this study was to investigate, in a highly active population: 1) t…
View article: Cardiopulmonary assessment prior to returning to high-hazard occupations post-symptomatic COVID-19 infection: a position statement of the Aviation and Occupational Cardiology Task Force of the European Association of Preventive Cardiology
Cardiopulmonary assessment prior to returning to high-hazard occupations post-symptomatic COVID-19 infection: a position statement of the Aviation and Occupational Cardiology Task Force of the European Association of Preventive Cardiology Open
This article provides an overview of the recommendations of the Aviation and Occupational Cardiology Task Force of the European Association of Preventive Cardiology on returning individuals to work in high-hazard occupations (such as flyin…
View article: Cardiovascular risk in high-hazard occupations: the role of occupational cardiology
Cardiovascular risk in high-hazard occupations: the role of occupational cardiology Open
Work is beneficial for health, but many individuals develop cardiovascular disease (CVD) during their working lives. Occupational cardiology is an emerging field that combines traditional cardiology sub-specialisms with prevention and risk…
View article: The Netherlands Sports Cardiology Map: a step towards sports cardiology network medicine for patient and athlete care
The Netherlands Sports Cardiology Map: a step towards sports cardiology network medicine for patient and athlete care Open
Sports cardiology is a rapidly evolving subspecialty of cardiology, with a growing demand for expertise. To improve patient care, clinicians, patients, and athletes (recreational to elite) should be able to easily identify specialised care…
View article: South Pacific Underwater Medicine Society guidelines for cardiovascular risk assessment of divers
South Pacific Underwater Medicine Society guidelines for cardiovascular risk assessment of divers Open
The South Pacific Underwater Medicine Society (SPUMS) diving medical for recreational scuba divers was last reviewed in 2011. From 2011 to 2019, considerable advancements have occurred in cardiovascular risk assessment relevant to divers. …
View article: Return to sports after COVID-19: a position paper from the Dutch Sports Cardiology Section of the Netherlands Society of Cardiology
Return to sports after COVID-19: a position paper from the Dutch Sports Cardiology Section of the Netherlands Society of Cardiology Open
The coronavirus disease 2019 (COVID-19) pandemic has led to preventive measures worldwide. With the decline of infection rates, less stringent restrictions for sports and exercise are being implemented. COVID-19 is associated with signific…
View article: Diving with hypertension and antihypertensive drugs
Diving with hypertension and antihypertensive drugs Open
Hypertension is a common condition, which is highly prevalent amongst scuba divers. As a consequence, a substantial proportion of divers are hypertensive and/or on antihypertensive drugs when diving. In this article, we review available li…
View article: Assessing aeromedical risk: a three-dimensional risk matrix approach
Assessing aeromedical risk: a three-dimensional risk matrix approach Open
Early aeromedical risk i was based on aeromedical standards designed to eliminate individuals ii from air operations with any identifiable medical risk, and led to frequent medical disqualification. The concept of considering aeromedical r…
View article: Non-coronary cardiac surgery and percutaneous cardiology procedures in aircrew
Non-coronary cardiac surgery and percutaneous cardiology procedures in aircrew Open
This manuscript focuses on the broad aviation medicine considerations that are required to optimally manage aircrew following non-coronary surgery or percutaneous cardiology interventions (both pilots and non-pilot aviation professionals).…
View article: Management of cardiac conduction abnormalities and arrhythmia in aircrew
Management of cardiac conduction abnormalities and arrhythmia in aircrew Open
Cardiovascular diseases i are the most common cause of loss of flying licence globally, and cardiac arrhythmia is the main disqualifier in a substantial proportion of aircrew. Aircrew ii often operate within a demanding physiological envir…
View article: Management of established coronary artery disease in aircrew without myocardial infarction or revascularisation
Management of established coronary artery disease in aircrew without myocardial infarction or revascularisation Open
This paper is part of a series of expert consensus documents covering all aspects of aviation cardiology. In this manuscript, we focus on the broad aviation medicine considerations that are required to optimally manage aircrew with establi…
View article: The challenge of asymptomatic coronary artery disease in aircrew; detecting plaque before the accident
The challenge of asymptomatic coronary artery disease in aircrew; detecting plaque before the accident Open
Coronary events remain a major cause of sudden incapacitation, including death, in both the general population and among aviation personnel, and are an ongoing threat to flight safety and operations. The presentation is often unheralded, e…
View article: Congenital heart disease in aircrew
Congenital heart disease in aircrew Open
This article focuses i on the broad aviation medicine considerations that are required to optimally manage aircrew ii with suspected or confirmed congenital heart disease (both pilots and non-pilot aviation professionals). It presents expe…
View article: An introduction to aviation cardiology
An introduction to aviation cardiology Open
The management of cardiovascular disease (CVD) has evolved significantly in the last 20 years; however, the last major publication to address a consensus on the management of CVD in aircrew was published in 1999, following the second Europ…
View article: Contemporaneous management of valvular heart disease and aortopathy in aircrew
Contemporaneous management of valvular heart disease and aortopathy in aircrew Open
Valvular heart disease (VHD) is highly relevant in the aircrew population as it may limit appropriate augmentation of cardiac output in high-performance flying and predispose to arrhythmia. Aircrew with VHD require careful long-term follow…
View article: Heart muscle disease management in aircrew
Heart muscle disease management in aircrew Open
This manuscript focuses on the broad aviation medicine considerations that are required to optimally manage aircrew with suspected or confirmed heart muscle disease (both pilots and non-pilot aviation professionals). ECG abnormalities on a…
View article: Management of established coronary artery disease in aircrew with previous myocardial infarction or revascularisation
Management of established coronary artery disease in aircrew with previous myocardial infarction or revascularisation Open
This manuscript focuses on the broad aviation medicine considerations that are required to optimally manage aircrew with established coronary artery disease (CAD) without myocardial infarction (MI) or revascularisation (both pilots and non…
View article: Persistent foramen ovale closure in divers with a history of decompression sickness
Persistent foramen ovale closure in divers with a history of decompression sickness Open
View article: No psychological distress in sportsmen aged 45 years and older after cardiovascular screening, including cardiac CT: The Measuring Athlete’s Risk of Cardiovascular events (MARC) study
No psychological distress in sportsmen aged 45 years and older after cardiovascular screening, including cardiac CT: The Measuring Athlete’s Risk of Cardiovascular events (MARC) study Open
View article: Non-invasive measurement of volume–time curves in patients with mitral regurgitation and in healthy volunteers, using a new operator-independent screening tool
Non-invasive measurement of volume–time curves in patients with mitral regurgitation and in healthy volunteers, using a new operator-independent screening tool Open
Left ventricular volume-time curves (VTCs) provide hemodynamic data, and may help clinical decision making. The generation of VTCs using echocardiography, however, is time-consuming and prone to inter-operator variability. In this study, w…