Nav: Home

Cardiac events, stroke lead to loss of work, reduced income in survivors of working age

January 07, 2019

People who have experienced a heart attack (myocardial infarction), stroke or cardiac arrest are significantly less likely to be working than healthy people, and if they are working, on average have lower incomes, found a study published in CMAJ (Canadian Medical Association Journal).

Cardiovascular disease and stroke are the most common causes of death worldwide, resulting in hospitalization, disability and loss of income. For example, one-third of heart attacks, 25% of strokes and 40% of cardiac arrests occur in people of working age under age 65.

The current study evaluates the effect of these conditions on the labour market and compares outcomes of people aged 40 to 61 years who were working before their event with controls who had not experienced a stroke or cardiac event. To rule out any temporary labour market effects due to health issues, the researchers looked at employment three years after the initial event.

"Three years after admission to hospital for any of these health events, people who survived were less likely than the matched participants to be working and had greater losses in annual earnings," says Dr. Allan Garland, Professor of Medicine and Community Health Sciences Co-Head, Section of Critical Care Medicine, University of Manitoba and physician, Health Sciences Centre Winnipeg. "The loss in earnings was substantial, with reductions ranging from 8% to 31%. Even if people were able to work, their incomes in the third year after the event were 5% to 20% less than before."

The effects for stroke were the highest, with 31% decrease compared with 23% for cardiac arrest and 8% for acute myocardial infarction.

"Unemployment and lost earning owing to common health events have broad societal relevance, with consequences for patients, families and governments, such as bankruptcy, worsening health and lost productivity," says Dr. Garland.

Being employed is associated with well-being and life satisfaction. The researchers hope that the study will help in developing interventions and policies to support people to return to work, although more research is needed.
-end-
The study was funded through grants from the Heart and Stroke Foundation of Canada and Research Manitoba.

"Effects of cardiovascular and cerebrovascular health events on work and earnings: a population-based retrospective cohort study" is published January 7, 2019.

Visual abstract permanent link: http://www.cmaj.ca/lookup/suppl/doi:10.1503/cmaj.181238/-/DC2

Canadian Medical Association Journal

Related Heart Attack Articles:

Heart cells respond to heart attack and increase the chance of survival
The heart of humans and mice does not completely recover after a heart attack.
A simple method to improve heart-attack repair using stem cell-derived heart muscle cells
The heart cannot regenerate muscle after a heart attack, and this can lead to lethal heart failure.
Mount Sinai discovers placental stem cells that can regenerate heart after heart attack
Study identifies new stem cell type that can significantly improve cardiac function.
Fixing a broken heart: Exploring new ways to heal damage after a heart attack
The days immediately following a heart attack are critical for survivors' longevity and long-term healing of tissue.
Heart patch could limit muscle damage in heart attack aftermath
Guided by computer simulations, an international team of researchers has developed an adhesive patch that can provide support for damaged heart tissue, potentially reducing the stretching of heart muscle that's common after a heart attack.
How the heart sends an SOS signal to bone marrow cells after a heart attack
Exosomes are key to the SOS signal that the heart muscle sends out after a heart attack.
Heart attack patients taken directly to heart centers have better long-term survival
Heart attack patients taken directly to heart centers for lifesaving treatment have better long-term survival than those transferred from another hospital, reports a large observational study presented today at Acute Cardiovascular Care 2019, a European Society of Cardiology congress.
Among heart attack survivors, drug reduces chances of second heart attack or stroke
In a clinical trial involving 18,924 patients from 57 countries who had suffered a recent heart attack or threatened heart attack, researchers at the University of Colorado Anschutz Medical Campus and fellow scientists around the world have found that the cholesterol-lowering drug alirocumab reduced the chance of having additional heart problems or stroke.
Oxygen therapy for patients suffering from a heart attack does not prevent heart failure
Oxygen therapy does not prevent the development of heart failure.
I have had a heart attack. Do I need open heart surgery or a stent?
New advice on the choice between open heart surgery and inserting a stent via a catheter after a heart attack is launched today.
More Heart Attack News and Heart Attack Current Events

Top Science Podcasts

We have hand picked the top science podcasts of 2019.
Now Playing: TED Radio Hour

In & Out Of Love
We think of love as a mysterious, unknowable force. Something that happens to us. But what if we could control it? This hour, TED speakers on whether we can decide to fall in — and out of — love. Guests include writer Mandy Len Catron, biological anthropologist Helen Fisher, musician Dessa, One Love CEO Katie Hood, and psychologist Guy Winch.
Now Playing: Science for the People

#543 Give a Nerd a Gift
Yup, you guessed it... it's Science for the People's annual holiday episode that helps you figure out what sciency books and gifts to get that special nerd on your list. Or maybe you're looking to build up your reading list for the holiday break and a geeky Christmas sweater to wear to an upcoming party. Returning are pop-science power-readers John Dupuis and Joanne Manaster to dish on the best science books they read this past year. And Rachelle Saunders and Bethany Brookshire squee in delight over some truly delightful science-themed non-book objects for those whose bookshelves are already full. Since...
Now Playing: Radiolab

An Announcement from Radiolab