Document 7Qvw42v6YX63nQZqzkb7jERe

EFFECTS OF EMPLOYMENT ON THE COURSE OF HEART DISEASE the staff of the work classification unit, adult cardiac CLINIC, THIRD (NEW YORK UNIVERSITY) MEDICAL DIVISION, BELLEVUE HOSPITAL NEW YORK IN PREVIOUS reports,*1 analyses of the occupational status of groups of cardiac clinic patients taken at a fixed point of time have been presented. It has been pointed outlb that such studies are of limited value, since they provide little or no information regarding the effects of employment on the course of heart disease, nor, conversely, do they show the effects of heart disease on continuing employment. The present report represents an attempt to throw some light on these two important and basic problems. An ideal place to study the effects of. employment on heart disease and of heart disease on employment over long periods of time would obviously be the industrial medical department. Unfortunately, relatively few such departments maintain detailed occupational histories which can be correlated with cardiac histories, and even fewer have utilized standard diagnostic criteria and nomenclature.2 3 * T* he latter deficiency introduces serious difficulties when it comes to interpreting records and reports. A notable exception is a recent article by Crain, Missal and Wilson,8 This study was aided by grants from the New York Heart Association and the Knapp Foundation. This report is the second of a series to be published by the Staff of the Work Classification Unit, Adult Cardiac Clinic, Third (New York University) Medical Division, Bellevue Hospital, New York. The following members of the staff have contributed to the work which forms the basis for the reports: Drs. Leonard J. Goldwater (chief of Unit), Lewis H. Bronstein (associate chief of Unit), Herman J. Bennett, Anthony Brittis, Doris Escher, Sigmund Falk, John H. Iselin, Beatrice Kresky, Warren W. Lacey, Otakar Machek, Sol Parent, Samuel S. Sverdlik, Gerald Weinberger, Jean E. Wolfson; Miss Martha Ashcraft (administrator), Miss Lois Mills (research assistant), Mrs. Gladys Nunn (vocational counsellor). Consultation service was provided by Dr. Charles E. Kossmann (chief of Clinic) and Dr. Adolph R. Berger (associate chief of Clinic). 1.(a) Kresky,' B., and Goldwater, L. J.: Occupational Potentialities of Cardiac Patients, Am. Heart J. 27:623-633 (May) 1944. (b) Staff of the Work Classification Unit, Adult Cardiac Clinic, Third (New York University) Medical Division, Bellevue Hospital, New York: An Occupational Analysis 6f 580 Cardiac Oinic Patients, Circulation 3:289-293 (Feb.) 1951. 2. New York Heart Association, Criteria Committee: Nomenclature and Criteria for Diagnosis of Diseases of the Heart, ed. 4, New York, New York Tuberculosis and Health Association, 1939. 3. Crain, R. B.; Missal, M. E., and Wilson, K. W.^ The Industrial Employee with Myo cardial Infarction: His Ability to Return to Work, Arch. Indust. Hyg. & Occup. Med. 1:525538 (May) 1950. 367 :A 4 'i 'jet `t ' 4' <''