OUP user menu

Risk of a coronary heart attack in the normal population and how it might be modified in flyers

Hugh Tunstall-Pedoe
DOI: http://dx.doi.org/10.1093/eurheartj/5.suppl_A.43 43-49 First published online: 2 January 1984

Abstract

Fatal accident rates in passenger aircraft can be compared directly with coronary heart attack rates in pilots. Although heart attacks are unpredictable in the short term and about 50% of them might cause immediate total incapacitation, rates are such that only a very small percentage of fatal accidents could come from this cause. Risk of attack is highly age- and sex-dependent but pilots should be at lower risk than the general population as half of the events in the latter are recurrences in those with manifest disease which would usually lead to permanent loss of licence. Identification of other markers for coronary heart disease and of coronary risk factors in pilots could lead to a further potential reduction in risk but the effect is small and could be brought about only by grounding a large proportion of existing pilots. Below the age of SO, risk in men is small but above this age special scrutiny may be justified for those involved in single-pilot operations.

Better data on the actual risk of developing coronary heart disease in pilots should be provided by setting up a central recording system covering both active aircrew and those who retire for whatever reason.

  • Aircrew licensing
  • mortality rates
  • incidence
  • sudden death
  • risk factors
  • electrocardiogram
  • Minnesota Code
  • symptom questionnaire
  • screening
  • risk

Sign In

ESC members click here if your subscription is as an ESC Congress delegete or via your membership link.  Discover if you are an ESC member here.
Note: after sign in you will be redirected to the journal's home page. 'ESC member' will display at the top of the page to indicate you have full access rights for this session.

Otherwise, if your subscription is via OUP, enter your OUP username and password, or select an alternative sign in option below.

Log in through your institution