Return to work in heart failure patients with suspected viral myocarditis:

SAGE Open Medicine

RonaReibis¹ 

关键词: Return to work;    rehabilitation;    endomyocardial biopsy;    prediction;    myocarditis;   

DOI  :  10.1177/2050312117744978

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:Endomyocardial biopsy is considered as the gold standard in patients with suspected myocarditis. We aimed to evaluate the impact of bioptic findings on prediction of successful return to work.Methods:In 1153 patients (48.9 ± 12.4 years, 66.2% male), who were hospitalized due to symptoms of left heart failure between 2005 and 2012, an endomyocardial biopsy was performed. Routine clinical and laboratory data, sociodemographic parameters, and noninvasive and invasive cardiac variables including endomyocardial biopsy were registered. Data were linked with return to work data from the German statutory pension insurance program and analyzed by Cox regression.Results:A total of 220 patients had a complete data set of hospital and insurance information. Three quarters of patients were virus-positive (54.2% parvovirus B19, other or mixed infection 16.7%). Mean invasive left ventricular ejection fraction was 47.1% ± 18.6% (left ventricular ejection fraction <45% in 46.3%). Return to work was achieved aft...

【 授权许可】

CC BY