The Role of Cardiac Rehabilitation in Facilitating Return to Work After Cardiovascular Events
Main Article Content
Abstract
Returning to work (RTW) after a cardiovascular event, such as acute coronary syndrome (ACS) or coronary artery bypass grafting (CABG), is a critical aspect of cardiac rehabilitation (CR). Effective CR not only enhances a patient's quality of life but also ensures financial stability by reducing occupational disability-related costs. Multiple factors involved to return to work process, including physical health, psychological well-being, work-related factors, and the severity of the cardiac event. This review explores the role of CR in facilitating RTW for post-ACS and post-CABG patients, highlighting key considerations for a safe and successful transition to work and daily activities. Interdisciplinary approaches are crucial, as different medical and rehabilitation professionals contribute to optimizing patient outcomes. Furthermore, the type of work and associated physical demands must be carefully evaluated for each patient. Special attention is needed for developing countries, where cardiac rehabilitation programs are less established, to ensure these patients receive adequate support. The article concludes by discussing future strategies to improve return to work rates, improving quality of life, and minimize the economic burden of cardiovascular diseases.
Keywords:
Return to work, Cardiovascular events, Cardiac rehabilitation, Acute coronary syndrome, Coronary artery bypass grafting
Article Details
How to Cite
TJAHJONO, Cholid Tri; ARTHAMIN, Maimun Zulhaidah.
The Role of Cardiac Rehabilitation in Facilitating Return to Work After Cardiovascular Events.
Medical Research Archives, [S.l.], v. 12, n. 12, dec. 2024.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/6016>. Date accessed: 06 jan. 2025.
doi: https://doi.org/10.18103/mra.v12i12.6016.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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3. Català Tella N, Serna Arnaiz C, Real Gatius J, Yuguero Torres O, Galván Santiago L. Assessment of the length of sick leave in patients with ischemic heart disease. BMC Cardiovasc Disord. 2017;17(1):32. doi:10.1186/s12872-016-0460-7
4. Hu Y, Zhou T, Li X, et al. Factors influencing return to work 3 months after percutaneous coronary intervention in young and middle-aged patients with coronary heart disease: A single-center, cross-sectional study. PLOS ONE. 2023;18(4):e0284100. doi:10.1371/journal.pone.0284100
5. Salzwedel A, Koran I, Langheim E, et al. Patient-reported outcomes predict return to work and health-related quality of life six months after cardiac rehabilitation: Results from a German multi-centre registry (OutCaRe). Plos One. 2020;15(5):e0232752. doi:10.1371/journal.pone.0232752
6. Bresseleers J, De Sutter J. Return to work after acute coronary syndrome: Time for action. Eur J Prev Cardiol. 2019;26(13):1355-1357. doi:10.1177/2047487319840183
7. Cowie MR. Returning to Work: A Forgotten Aspect of Rehabilitation for Heart Failure. Circulation. 2016;134(14):1010-1012. doi:10.1161/CIRCULATIONAHA.116.024635
8. Slebus FG, Jorstad HT, Peters RJG, et al. Return to Work after an Acute Coronary Syndrome: Patients’ Perspective. Saf Health Work. 2012;3(2):117-122. doi:10.5491/SHAW.2012.3.2.117
9. Nordgren L, Söderlund A. Being on sick leave due to heart failure: self-rated health, encounters with healthcare professionals and social insurance officers and self-estimated ability to return to work. Psychol Health Med. 2015;20(5):582-593. doi:10.1080/13548506.2015.1007148
10. Nordgren L, Söderlund A. Being on sick leave due to heart failure: Encounters with social insurance officers and associations with sociodemographic factors and self-estimated ability to return to work. Eur J Cardiovasc Nurs. 2016;15(3):e27-36. doi:10.1177/1474515115571033
11. Fiabane E. Return to work after an acute cardiac event: the role of psychosocial factors. Prev Res. Published online January 1, 2014. doi:10.11138/PER/2014.3.4.137
12. Dreyer RP, Dickson VV. Return to Work After Acute Myocardial Infarction. Circ Cardiovasc Qual Outcomes. 2018;11(6):e004806. doi:10.1161/CIRCOUTCOMES.118.004806
13. Taylor RS, Dalal HM, McDonagh STJ. The role of cardiac rehabilitation in improving cardiovascular outcomes. Nat Rev Cardiol. 2022;19(3):180-194. doi:10.1038/s41569-021-00611-7
14. Singh A, Museedi AS, Grossman SA. Acute Coronary Syndrome. In: StatPearls [Internet]. StatPearls Publishing; 2023. Accessed March 25, 2024. https://www.ncbi.nlm.nih.gov/books/NBK459157/
15. Slebus FG, Jorstad HT, Peters RJ, et al. Return to work after an acute coronary syndrome: patients’ perspective. Saf Health Work. 2012;3(2):117-122. doi:10.5491/SHAW.2012.3.2.117
16. Razvi Y, Ladie DE. Cardiopulmonary Exercise Testing. In: StatPearls. StatPearls Publishing; 2024. Accessed September 22, 2024. http://www.ncbi.nlm.nih.gov/books/NBK557886/
17. Winnige P, Vysoky R, Dosbaba F, Batalik L. Cardiac rehabilitation and its essential role in the secondary prevention of cardiovascular diseases. World J Clin Cases. 2021;9(8):1761-1784. doi:10.12998/wjcc.v9.i8.1761
18. Vo TTD, Tuliao KV, Chen CW. Work Motivation: The Roles of Individual Needs and Social Conditions. Behav Sci. 2022;12(2):49. doi:10.3390/bs12020049
19. Rørth R, Wong C, Kragholm K, et al. Return to the Workforce After First Hospitalization for Heart Failure: A Danish Nationwide Cohort Study. Circulation. 2016;134(14):999-1009. doi:10.1161/CIRCULATIONAHA.116.021859
20. Döring D, Haberland BE, Ossig A, et al. Behavior of laboratory beagles: Assessment in a standardized behavior test using novel stimuli and situations. J Vet Behav. 2016;11:18-25. doi:10.1016/j.jveb.2015.10.004
21. Lin P, Chen C, Pan S, et al. The association between rotating shift work and increased occupational stress in nurses. J Occup Health. 2015;57(4):307-315. doi:10.1539/joh.13-0284-OA
22. De Jonge P, Zuidersma M, Bültmann U. The presence of a depressive episode predicts lower return to work rate after myocardial infarction. Gen Hosp Psychiatry. 2014;36(4):363-367. doi:10.1016/j.genhosppsych.2014.03.006
23. Kostol AR, Mogstad M. How Financial Incentives Induce Disability Insurance Recipients to Return to Work. Am Econ Rev. 2014;104(2):624-655.
24. Gragnano A, Negrini A, Miglioretti M, Corbière M. Common Psychosocial Factors Predicting Return to Work After Common Mental Disorders, Cardiovascular Diseases, and Cancers: A Review of Reviews Supporting a Cross-Disease Approach. J Occup Rehabil. 2018;28(2):215-231. doi:10.1007/s10926-017-9714-1
25. Pinto N, Shah P, Haluska B, Griffin R, Holliday J, Mundy J. Return to work after coronary artery bypass in patients aged under 50 years. Asian Cardiovasc Thorac Ann. 2012;20(4):387-391. doi:10.1177/0218492312437881
26. Batchelor WB, Anwaruddin S, Wang DD, et al. The Multidisciplinary Heart Team in Cardiovascular Medicine. JACC Adv. 2023;2(1):100160. doi:10.1016/j.jacadv.2022.100160
27. Worcester MU, Elliott PC, Turner A, et al. Resumption of Work After Acute Coronary Syndrome or Coronary Artery Bypass Graft Surgery. Heart Lung Circ. 2014;23(5):444-453. doi:10.1016/j.hlc.2013.10.093
28. Lamberti M, Ratti G, Gerardi D, et al. Work-related outcome after acute coronary syndrome: Implications of complex cardiacrehabilitation in occupational medicine. Int J Occup Med Environ Health. 2016;29(4):649-657. doi:10.13075/ijomeh.1896.00643
29. O’Brien L, Wallace S, Romero L. Effect of Psychosocial and Vocational Interventions on Return-to-Work Rates Post–Acute Myocardial Infarction: A SYSTEMATIC REVIEW. J Cardiopulm Rehabil Prev. 2018;38(4):215-223. doi:10.1097/HCR.0000000000000261
30. Latil F, Iliou MC, Boileau C, et al. Retour au travail après un accident coronarien aigu. Ann Cardiol Angéiologie. 2017;66(2):81-86. doi:10.1016/j.ancard.2016.12.006
31. Alegria-Ezquerra’ ’Eduardo, Grima’ ’A. Reporting on coronary patients for return to work: an algorithm. 2012. Accessed April 16, 2024. https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-10/Reporting-on-coronary-patients-for-return-to-work-an-algorithm, https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-10/Reporting-on-coronary-patients-for-return-to-work-an-algorithm
32. Ainsworth BE, Haskell WL, Leon AS, et al. Compendium of Physical Activities: classification of energy costs of human physical activities: Med Sci Sports Exerc. 1993;25(1):71-80. doi:10.1249/00005768-199301000-00011
33. Bagshaw M, Illig P. The Aircraft Cabin Environment. In: Travel Medicine. Elsevier; 2019:429-436. doi:10.1016/B978-0-323-54696-6.00047-1
34. Pearce E, Haffner F, Brady LB, et al. Nonurgent Commercial Air Travel after Acute Coronary Syndrome: A Review of 288 Patient Events. Air Med J. 2014;33(5):222-230. doi:10.1016/j.amj.2014.04.013
35. Meisinger C, Kirchberger I, Raake P, Linseisen J, Schmitz T. Fatigue, Depression and Health-Related Quality of Life in Patients with Post-Myocardial Infarction during the COVID-19 Pandemic: Results from the Augsburg Myocardial Infarction Registry. J Clin Med. 2023;12(19):6349. doi:10.3390/jcm12196349
36. Byrne RA, Rossello X, Coughlan JJ, et al. 2023 ESC Guidelines for the management of acute coronary syndromes. Eur Heart J. 2023;44(38):3720-3826. doi:10.1093/eurheartj/ehad191
37. Guerra PG, Simpson CS, Van Spall HGC, et al. Canadian Cardiovascular Society 2023 Guidelines on the Fitness to Drive. Can J Cardiol. 2024;40(4):500-523. doi:10.1016/j.cjca.2023.09.033
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