Coronary artery disease in aircrew fatalities: Morphology, risk factors, and possible predictors

Aviation Space and Environmental Medicine

Volumn 84, Issue 2, 2013, Pages 142-147

  Dumser, Thomas ^a   Borsch, Mathias ^a   Wonhas, Christoph ^a  

^a German Air Force Institute of Aviation Medicine   (Germany)

Author keywords

Asymptomatic coronary angiosclerosis; Ergometry; Non invasive cardiovascular imaging

Indexed keywords

ADULT; AIRCRAFT ACCIDENT; ARTICLE; COMORBIDITY; CORONARY ARTERY DISEASE; ERGOMETRY; FIBROADENOMA; GERMANY; HEART TUMOR; HUMAN; MALE; MIDDLE AGED; RISK FACTOR; SOLDIER; STATISTICS;

ACCIDENTS, AVIATION; ADULT; COMORBIDITY; CORONARY ARTERY DISEASE; ERGOMETRY; FIBROADENOMA; GERMANY; HEART NEOPLASMS; HUMANS; MALE; MIDDLE AGED; MILITARY PERSONNEL; RISK FACTORS;

EID: 84873251831     PISSN: 00956562     EISSN: None     Source Type: Journal    
DOI: 10.3357/ASEM.3352.2013     Document Type: Article

References (26)

1. Arnold G. Makroskopische und mikroskopische Herzpräparation bei ischämischen Herzkrankheiten. Pathologe 1995; 16: 168-80.
2. Booze CF, Pidkowicz JK, Davis AW, Bolding FA. Postmortem coronary atherosclerosis findings in general aviation accident pilot fatalities: 1975-1977. Aviat Space Environ Med 1981; 52: 24-7.
3. Booze CF, Staggs CM. A comparison of postmortem coronary atherosclerosis findings in general aviation pilot fatalities. Aviat Space Environ Med 1987; 58: 297-300.
4. Büchner F. Durchblutungsstörungen des Herzmuskels (Nach Beobachtungen bei der Truppe). Der Deutsche Militärarzt 1941; 6: 570-8.
5. Cheruvu PK, Finn AV, Gardner C, Caplan J, Goldstein J, et al. Frequency and distribution of thin-cap fibroatheroma and ruptured plaques in human coronary arteries. J Am Coll Cardiol 2007; 50: 940-9.
6. th ed. Philadelphia: Lippincott Williams & Wilkins; 2008.
7. Dejohn CA, Wolbrink AM, Larcher JG. In-flight medical incapacitation and impairment of U.S. airline pilots: 1993 to 1998. Oklahoma City, OK: Civil Aerospace Medical Institute, Federal Aviation Administration; 2004. DOT/FAA/AM-04/16.
8. Elfawal MA, Wheatley DJ. Diagnosis of sudden coronary death in the autopsy room: guidelines for forensic pathologists. Med Sci Law 1989; 29: 64-8.
9. Falk E, Shah PK, Fuster V. Coronary plaque disruption. Circulation 1995; 92: 657-71.
10. Gilg F. Todesfälle bei Flugzeugabstürzen im Obduktionsgut der Institute für Rechtsmedizin in Hamburg und München (1984-2008) mit besonderer Berücksichtigung von Alkohol, vorbestehenden Erkrankungen, Drogen oder Medikamenten beim Flugpersonal [Fatalities in aircraft crashes among autopsies at the Institutes of Forensics of Hamburg and Munich (1984-2008) with special focus on illnesses, drugs and substance abuse of air crews.] [Dissertation]. Hamburg, Germany: University of Hamburg; 2009.
11. Glagov S, Weisenberg E, Zarins CK, Stankunavidius R, Kolettis GJ. Compensatory enlargement of human atherosclerotic coronary arteries. N Engl J Med 1987; 316: 1371-5.
12. Glantz WM, Stembridge VA. Coronary artery atherosclerosis as a factor in aircraft accident fatalities. J Aviat Med 1959; 30: 75-89.
13. Glaser H. Beeinflussbare Risikofaktoren: Rauchen und Übergewicht bei Luftfahrzeugführern und Bewerbern für den fliegerischen Dienst der Bundeswehr - Trends über 30 Jahre. Wehrmed Mschr 2008; 52: 336-42.
14. JAR-FCL 3, Amendment 5. German issue. Berlin, Germany: German Federal Ministry of Justice; 2007. Bundesanzeiger 2007; 59: 94a.
15. nded. London: Arnold; 1996.
16. Kruyer WB, Pickard J. Coronary artery disease. In: USAF waiver guide. Brooks City Base, San Antonio, TX: USAF SAM; 2006.
17. Mann JM, Davies MJ. Assessment of the severity of coronary artery disease at post-mortem examination. Are the measurements clinically valid? Br Heart J 1995; 74: 528-30.
18. Maseri A, Fuster V. Is there a vulnerable plaque? Circulation 2003; 107: 2068-71.
19. Nissen SE. Shortcomings of coronary angiography and their implications in clinical practice. Cleve Clin J Med 1999; 66: 479-85.
20. Siegel PV, Mohler SR, Cierebiej A. The safety significance of aircraft accident post mortem findings. Publication AM; 69-18. Washington DC: Federal Aviation Administration, Office of Aviation Medicine; 1969.
21. th Annual Scientific Meeting; Chicago, IL; May 1997. Alexandria, VA: AsMA; 1997.
22. Stary HC. The histological classification of atherosclerotic lesions in human coronary arteries. In: Foster V, Ross R, Topol EJ, eds. Atherosclerosis and coronary artery disease, vol. II. Philadelphia: Lippincott-Raven; 1996:463-74.
23. Taneja N, Wiegmann DA. Prevalence of cardiovascular abnormalities in pilots involved in fatal general aviation airplane accidents. Aviat Space Environ Med 2002; 73: 1025-30.
24. Virmani R, Kolodgie FD, Burke AP, Farb A, Schwartz SM. Lessons from sudden coronary death: a comprehensive morphological classification scheme for atherosclerotic lesions. Arterioscler Thromb Vasc Biol 2000; 20: 1262-75.
25. Virmani R, Burke AP, Farb A, Kolodgie FD. Pathology of the vulnerable plaque. J Am Coll Cardiol 2006; 47 (8, Suppl.): C13-8.
26. Wonhas C. Multi-detector computerized tomography (MDCT) in the diagnosis of coronary artery disease (CAD) in asymptomatic aircrew members. Flightlines 2008; 22 (4): 22.