关键词: cardiology fluoroscopy pregnancy radiation safety women in cardiology

来  源:   DOI:10.1016/j.jacadv.2024.100863   PDF(Pubmed)

Abstract:
Exposure to ionizing radiation is an inherent occupational health hazard in clinical cardiology. Health risks have been reported previously, including predilection to cancer. In addition, orthopedic injury due to prolonged wearing of heavy protective lead aprons, which are mandatory to reduce radiation risk, have been extensively documented. Cardiology as a specialty has grown with rising volumes of increasingly complex procedures. This includes electrophysiological, coronary, and structural intervention, advanced heart failure/transplant management, and diagnostic imaging. Both the operator as well imaging specialists are exposed to radiation, particularly in structural interventions where interventional cardiologists and structural imagers work closely. Increasingly, women interested in cardiology may deselect the field due to radiation concerns. This expert document highlights the risks of radiation exposure in cardiology, including practical tips within various subspecialty fields such as interventional/structural cardiology, electrophysiology, imaging, advanced heart failure, and pediatric cardiology.
摘要:
暴露于电离辐射是临床心脏病学中固有的职业健康危害。健康风险以前已经报道过,包括对癌症的偏爱.此外,由于长时间穿着沉重的保护性铅围裙而造成的骨科伤害,这是降低辐射风险的强制性要求,已被广泛记录。随着越来越复杂的手术数量的增加,心脏病学作为一门专业已经发展起来。这包括电生理,冠状动脉,和结构性干预,晚期心力衰竭/移植管理,和诊断成像。操作员和成像专家都受到辐射,特别是在结构干预中,介入心脏病学家和结构成像仪密切合作。越来越多,由于辐射问题,对心脏病学感兴趣的女性可能会取消选择该领域。这份专家文件强调了心脏病学中辐射暴露的风险,包括各种亚专业领域的实用技巧,如介入/结构心脏病学,电生理学,成像,晚期心力衰竭,和儿科心脏病学.
公众号