Skip to main content

16.04.2024 | Interventional Cardiology (SR Bailey and T Helmy, Section Editors)

Occupational Risks of Radiation Exposure to Cardiologists

verfasst von: Jean-Benoît Veillette, Marc-Antoine Carrier, Stéphane Rinfret, Julien Mercier, Jean Arsenault, Jean-Michel Paradis

Erschienen in: Current Cardiology Reports

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

Invasive cardiologists are exposed to large amounts of ionizing radiation. This review aims to summarize the main occupational risks in a radiation-exposed cardiology practice.

Recent Findings

We carried out a literature review on the subject. The studies reviewed allowed us to list six main health risk categories possibly associated with radiation exposure among cardiologists: deoxyribonucleic acid (DNA) and biochemical damages; cancers; ocular manifestations; olfaction, vascular, and neuropsychological alterations; musculoskeletal problems; and reproductive risks.

Summary

Our descriptive analysis demonstrates higher risks of DNA damage and lens opacities among radiation-exposed cardiology staff. Surveys and questionnaires have demonstrated a higher risk of musculoskeletal disease in exposed workers. Studies reported no difference in cancer frequency between radiation-exposed workers and controls. Changes in olfactory performance, neuropsychological aspects, and vascular changes have also been reported. Limited literature supports the security of continuing radiation-exposed work during pregnancy. Therefore, there is an urgent need to increase knowledge of the occupational risks of radiation exposure and to adopt technologies to reduce them.
Literatur
2.
Zurück zum Zitat • Orme NM, et al. Occupational health hazards of working in the interventional laboratory: a multisite case control study of physicians and allied staff. J Am Coll Cardiol. 2015;65:820–6. https://doi.org/10.1016/j.jacc.2014.11.056. Findings from this study suggest that musculoskeletal pain is more frequent in interventional health workers, while the frequency of cancers and cataracts were similar to controls.CrossRefPubMed • Orme NM, et al. Occupational health hazards of working in the interventional laboratory: a multisite case control study of physicians and allied staff. J Am Coll Cardiol. 2015;65:820–6. https://​doi.​org/​10.​1016/​j.​jacc.​2014.​11.​056. Findings from this study suggest that musculoskeletal pain is more frequent in interventional health workers, while the frequency of cancers and cataracts were similar to controls.CrossRefPubMed
3.
Zurück zum Zitat Cousins C, et al. ICRP PUBLICATION 120: radiological protection in cardiology. Ann ICRP. 2013;42:1–125.CrossRefPubMed Cousins C, et al. ICRP PUBLICATION 120: radiological protection in cardiology. Ann ICRP. 2013;42:1–125.CrossRefPubMed
11.
Zurück zum Zitat Sarkozy A, et al. Occupational radiation exposure in the electrophysiology laboratory with a focus on personnel with reproductive potential and during pregnancy: a European Heart Rhythm Association (EHRA) consensus document endorsed by the Heart Rhythm Society (HRS). Europace. 2017;19:1909–22. https://doi.org/10.1093/europace/eux252.CrossRefPubMed Sarkozy A, et al. Occupational radiation exposure in the electrophysiology laboratory with a focus on personnel with reproductive potential and during pregnancy: a European Heart Rhythm Association (EHRA) consensus document endorsed by the Heart Rhythm Society (HRS). Europace. 2017;19:1909–22. https://​doi.​org/​10.​1093/​europace/​eux252.CrossRefPubMed
12.
Zurück zum Zitat Erol MK, Oztas S, Bozkurt E, Karakelleoglu S. Sister chromatid exchange analysis and chromosoma aberration studies in interventional cardiology laboratory workers. Jpn heart j 2002;43. Erol MK, Oztas S, Bozkurt E, Karakelleoglu S. Sister chromatid exchange analysis and chromosoma aberration studies in interventional cardiology laboratory workers. Jpn heart j  2002;43.
13.
Zurück zum Zitat Boyaci B, et al. Evaluation of DNA damage in lymphocytes of cardiologists exposed to radiation during cardiac catheterization by the COMET ASSAY. Jpn Heart J. 2004;45:845–53.CrossRefPubMed Boyaci B, et al. Evaluation of DNA damage in lymphocytes of cardiologists exposed to radiation during cardiac catheterization by the COMET ASSAY. Jpn Heart J. 2004;45:845–53.CrossRefPubMed
14.
Zurück zum Zitat Andreassi MG, et al. Somatic DNA damage in interventional cardiologists: a case-control study. FASEB J. 2005;19:998–9.CrossRefPubMed Andreassi MG, et al. Somatic DNA damage in interventional cardiologists: a case-control study. FASEB J. 2005;19:998–9.CrossRefPubMed
23.
Zurück zum Zitat Torkabadi E, Kariminia A, Zakeri F. Alteration of peripheral blood T-reg cells and cytokines production in angiography personnel exposed to scattered X-rays. Iran J Allergy Asthma Immunol. 2007;6:181–7.PubMed Torkabadi E, Kariminia A, Zakeri F. Alteration of peripheral blood T-reg cells and cytokines production in angiography personnel exposed to scattered X-rays. Iran J Allergy Asthma Immunol. 2007;6:181–7.PubMed
36.
Zurück zum Zitat Mrdjanovic J, Jakimov D, Tursijan S, Bogdanovic G. Evaluation of sister chromatid exchanges, micronuclei, and proliferating rate index in hospital workers chronically exposed to ionizing radiation. J BUON. 2005;10:99–103.PubMed Mrdjanovic J, Jakimov D, Tursijan S, Bogdanovic G. Evaluation of sister chromatid exchanges, micronuclei, and proliferating rate index in hospital workers chronically exposed to ionizing radiation. J BUON. 2005;10:99–103.PubMed
39.
Zurück zum Zitat Linet MS, et al. Mortality in US physicians likely to perform fluoroscopy-guided interventional procedures compared with psychiatrists, 1979 to 2008. Radiology. 2017;284:482–94.CrossRefPubMed Linet MS, et al. Mortality in US physicians likely to perform fluoroscopy-guided interventional procedures compared with psychiatrists, 1979 to 2008. Radiology. 2017;284:482–94.CrossRefPubMed
45.
Zurück zum Zitat • Boice JD, et al. Mortality among medical radiation workers in the United States, 1965–2016. Int J Radiat Biol, 1–25. https://doi.org/10.1080/09553002.2021.1967508 (2022). Study including a large population of radiation workers who were not at statistically significant increased risk of death by cancer when compared to the general population expectation. • Boice JD, et al. Mortality among medical radiation workers in the United States, 1965–2016. Int J Radiat Biol, 1–25. https://​doi.​org/​10.​1080/​09553002.​2021.​1967508 (2022). Study including a large population of radiation workers who were not at statistically significant increased risk of death by cancer when compared to the general population expectation.
71.
Zurück zum Zitat Menon R, et al. Radiation safety in the catheterization laboratory: current perspectives and practices. J Invasive Cardiol. 2018;30:296–300.PubMed Menon R, et al. Radiation safety in the catheterization laboratory: current perspectives and practices. J Invasive Cardiol. 2018;30:296–300.PubMed
72.
Zurück zum Zitat Ross AM, Segal J, Borenstein D, Jenkins E, Cho S. Prevalence of spinal disc disease among interventional cardiologists. Am J Cardiol. 1997;79:68–70.CrossRefPubMed Ross AM, Segal J, Borenstein D, Jenkins E, Cho S. Prevalence of spinal disc disease among interventional cardiologists. Am J Cardiol. 1997;79:68–70.CrossRefPubMed
75.
Zurück zum Zitat •• Manzo-Silberman S, et al. Radiation protection for healthcare professionals working in catheterisation laboratories during pregnancy: a statement of the European Association of Percutaneous Cardiovascular Interventions (EAPCI) in collaboration with the European Heart Rhythm Association (EHRA), the European Association of Cardiovascular Imaging (EACVI), the ESC Regulatory Affairs Committee and Women as One. EuroIntervention. 2022. https://doi.org/10.4244/EIJ-D-22-00407. Statement that suggests it is safe for cardiologists to continue working during pregnancy as long as the limit dose to the foetus is not exceeded. Also reports that the small available data from practice doses are far from theses limits. •• Manzo-Silberman S, et al. Radiation protection for healthcare professionals working in catheterisation laboratories during pregnancy: a statement of the European Association of Percutaneous Cardiovascular Interventions (EAPCI) in collaboration with the European Heart Rhythm Association (EHRA), the European Association of Cardiovascular Imaging (EACVI), the ESC Regulatory Affairs Committee and Women as One. EuroIntervention. 2022. https://​doi.​org/​10.​4244/​EIJ-D-22-00407. Statement that suggests it is safe for cardiologists to continue working during pregnancy as long as the limit dose to the foetus is not exceeded. Also reports that the small available data from practice doses are far from theses limits.
80.
Zurück zum Zitat Williams PM, Fletcher S. Health effects of prenatal radiation exposure. Am Fam Physician. 2010;82:488–93.PubMed Williams PM, Fletcher S. Health effects of prenatal radiation exposure. Am Fam Physician. 2010;82:488–93.PubMed
83.
Zurück zum Zitat Fink D, Glick S. Misinformation among physicians about dangers of fetal x-ray exposure. Harefuah. 1993;124(717–719):717-719 739.PubMed Fink D, Glick S. Misinformation among physicians about dangers of fetal x-ray exposure. Harefuah. 1993;124(717–719):717-719 739.PubMed
104.
Metadaten
Titel
Occupational Risks of Radiation Exposure to Cardiologists
verfasst von
Jean-Benoît Veillette
Marc-Antoine Carrier
Stéphane Rinfret
Julien Mercier
Jean Arsenault
Jean-Michel Paradis
Publikationsdatum
16.04.2024
Verlag
Springer US
Erschienen in
Current Cardiology Reports
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-024-02056-z

„Jeder Fall von plötzlichem Tod muss obduziert werden!“

17.05.2024 Plötzlicher Herztod Nachrichten

Ein signifikanter Anteil der Fälle von plötzlichem Herztod ist genetisch bedingt. Um ihre Verwandten vor diesem Schicksal zu bewahren, sollten jüngere Personen, die plötzlich unerwartet versterben, ausnahmslos einer Autopsie unterzogen werden.

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

17.05.2024 Direkte orale Antikoagulanzien Nachrichten

Kommt es zu einer nichttraumatischen Hirnblutung, spielt es keine große Rolle, ob die Betroffenen zuvor direkt wirksame orale Antikoagulanzien oder Marcumar bekommen haben: Die Prognose ist ähnlich schlecht.

Schlechtere Vorhofflimmern-Prognose bei kleinem linken Ventrikel

17.05.2024 Vorhofflimmern Nachrichten

Nicht nur ein vergrößerter, sondern auch ein kleiner linker Ventrikel ist bei Vorhofflimmern mit einer erhöhten Komplikationsrate assoziiert. Der Zusammenhang besteht nach Daten aus China unabhängig von anderen Risikofaktoren.

Semaglutid bei Herzinsuffizienz: Wie erklärt sich die Wirksamkeit?

17.05.2024 Herzinsuffizienz Nachrichten

Bei adipösen Patienten mit Herzinsuffizienz des HFpEF-Phänotyps ist Semaglutid von symptomatischem Nutzen. Resultiert dieser Benefit allein aus der Gewichtsreduktion oder auch aus spezifischen Effekten auf die Herzinsuffizienz-Pathogenese? Eine neue Analyse gibt Aufschluss.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.