Physician Resources Home arrow Medical News arrow Job stress associated with cardiovascular risk
Job stress associated with cardiovascular risk
Written by Medical News Feed   

CHICAGO—Persons who reported chronic job strain after a first heart attack (myocardial infarction ) had about twice the risk of experiencing another coronary heart disease event such as heart attack or unstable angina than those without chronic job strain, according to a study in the October 10 issue of JAMA.

Several studies have shown that job strain increases the risk of a first coronary heart disease (CHD) event. However, little is known about the association of job strain on the risk of recurrent CHD events, according to background information in the article.

Discuss this article on the forums. (1 posts)


Corine Aboa-Èboulé, M.D., Ph.D., of the Université Laval, Québec, Canada, and colleagues conducted a study to determine whether job strain increases the risk of recurrent CHD events after a first heart attack. The study included 972 men and women, age 35 to 59 years, who returned to work after a first heart attack and were then followed up between February 1996 and June 2005. Patients were interviewed at baseline (on average, 6 weeks after their return to work), then after 2 and 6 years subsequently. Job strain was defined and determined by the degree of high psychological demands and low decision control.

During the average follow-up of 5.9 years, 206 patients had a confirmed recurrent CHD event (111 nonfatal heart attack, 82 unstable angina, and 13 fatal CHD). Chronic job strain was associated with a 2-fold increase in the risk of recurrent CHD events even after adjustment for 26 potentially confounding CHD- risk factor s and sociodemographic, lifestyle, and clinical-prognostic and work-environment characteristics. There were no significant statistical interactions between chronic job strain and either sex, age, marital status, education, perceived economic situation and chronic low social support at work.

“These results suggest that preventive interventions aimed at reducing job strain might have a significant impact on recurrent CHD events. Although further studies are required to establish optimal interventions, information about the results of this study should be disseminated in cardiac practice and in occupational health services with the aim of reducing job strain for workers returning to work after [a heart attack],” the authors write.
(JAMA. 2007;298(14):1652-1660.

Editor's Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.


There needs to be a greater emphasis on evaluating job strain, writes Kristina Orth-Gomér, M.D., of the Karolinska Institutet, Stockholm, Sweden, in an accompanying editorial.

“Job strain and other related psychosocial risk factors are associated with worse prognosis in patients with coronary heart disease. These influences are independent of standard risk factors and need to be addressed in clinical practice. However, knowledge is lacking on how to prevent and manage job strain in particular and psychosocial risk in general. Therefore, there is a great need for research on methods and interventions to deal with these risk factors in the clinical setting.”

“Patients and physicians may benefit from widening the medical framework to include job strain evaluation. If physicians have difficulty finding adequate time to discuss job experiences with patients, this role may be adopted by other health care professionals, such as experienced cardiac rehabilitation nurses. Patients are often relieved and may spontaneously report improved quality of life and increased capacity for coping once they have their concerns assessed.”
(JAMA. 2007;298(14):1693-1694.

Editor's Note: Please see the article for additional information, including financial disclosures, funding and support, etc.

Discuss this article on the forums. (1 posts)

< Prev   Next >

Common Diseases

Swine Flu - Updates and information on H1N1 2009 (AKA Swine Influenza) pandemic.

Ankylosing spondylitis - Current protocols for diagnosis and treatment options.

Wegener granulomatosis - Autoimmune etiology and clinical course.

Diabetes - disease and management information, including diagnosis, typical treatment plans and diabetes supplies.


Medical Careers

The US medical jobs market has stayed hot for health care providers. Whether you believe that a provider shortage is in the offing or that the ratio of physicians-to-patients is too high, physician jobs and nursing jobs abound.

A wide variety of medical jobs can be found in the netdoc health care job listings. Particular strengths include permanent and locum tenens physician jobs, nursing jobs across the US, and radiology positions.

Other resources include physician salary information, medical career guidance, and the ability to post physician jobs.


When hiring your medical practice office manager, what was the most important consideration?
Copyright 2005 - 2020 Medical Resource Group, LLC. All rights reserved.