Evidence mapPaperPMID 30425083Full record

ReviewHeart (British Cardiac Society)2019

Management of established coronary artery disease in aircrew without myocardial infarction or revascularisation.

Eddie D Davenport, Gary Gray, Rienk Rienks, Dennis Bron, Thomas Syburra, Joanna L d'Arcy, Norbert J Guettler, Olivier Manen, Edward D Nicol

Open access · hybridAbstract readReview
In one paragraph

Review in Heart (British Cardiac Society), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. An introduction to aviation cardiology.Heart (British Cardiac Society) · 2019
    Review
  5. Congenital heart disease in aircrew.Heart (British Cardiac Society) · 2019
    Review
  6. Review
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 5 countries.

Eddie D DavenportAeromedical Consult Service, United States Air Force School of Aerospace Medicine, Wright-PAtterson AFB, Ohio, USA.
Gary GrayCanadian Forces Environmental Medical Establishment, Toronto, Ontario, Canada.
Rienk RienksDepartment of Cardiology, University Medical Centre Utrecht and Central Military Hospital, Utrecht, Netherlands.
Dennis BronAeromedical Centre, Swiss Air Force, Dubendorf, Switzerland.
Thomas SyburraCardiac Surgery Department, Luzerner Kantonsspital, Luzern, Switzerland.
Joanna L d'ArcyRoyal Air Force Aviation Clinical Medicine Service, RAF Centre of Aviation Medicine, Bedfordshire, UK.
Norbert J GuettlerGerman Air Force Center for Aerospace Medicine, Fuerstenfeldbruck, Germany.
Olivier ManenAviation Medicine Department, AeMC, Percy Military Hospital, Clamart, France.
Edward D NicolRoyal Air Force Aviation Clinical Medicine Service, RAF Centre of Aviation Medicine, Bedfordshire, UK.ORCID 0000-0001-9280-787X
Canadian Armed Forces · CACentral Military Hospital · NLHôpital d'instruction des Armées Percy · FRLuzerner Kantonsspital · CHUnited States Air Force · USZürich Airport (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper is part of a series of expert consensus documents covering all aspects of aviation cardiology. In this manuscript, we focus on the broad aviation medicine considerations that are required to optimally manage aircrew with established coronary artery disease in those without myocardial infarction or revascularisation (both pilots and non-pilot aviation professionals). We present expert consensus opinion and associated recommendations. It is recommended that in aircrew with non-obstructive coronary artery disease or obstructive coronary artery disease not deemed haemodynamically significant, nor meeting the criteria for excessive burden (based on plaque morphology and aggregate stenosis), a return to flying duties may be possible, although with restrictions. It is recommended that aircrew with haemodynamically significant coronary artery disease (defined by a decrease in fractional flow reserve) or a total burden of disease that exceeds an aggregated stenosis of 120% are grounded. With aggressive cardiac risk factor modification and, at a minimum, annual follow-up with routine non-invasive cardiac evaluation, the majority of aircrew with coronary artery disease can safely return to flight duties.

Indexed as

Disease ManagementMilitary PersonnelAerospace MedicineCoronary AngiographyCoronary Artery DiseaseFractional Flow Reserve, MyocardialHumansMyocardial InfarctionRisk AssessmentRisk Factorscoronary artery diseasehealth care delivery

Identifiers

PMID30425083
PMCPMC6256295
OpenAlexW4249100985

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.