JULIEN H. ISAACS, M.D., F.A.C.P.
Heart disease, known or unsuspected, may be aggravated by the effort, stress, or strain associated with occupational duties and the conditions under which these duties are performed. These subjects have been discussed and evaluated by medical and legal committees throughout the world. Medical and legal authorities alike have a large area of disagreement regarding the extent of damage and the aggravation or acceleration of heart disease that can result from occupational exertion and stress.
Discussion of these problems necessitates definition of the terms "work," "effort," and "stress and strain." Occupational duties require work, effort, or exertion—that is, the expenditure
ISAACS JH. OCCUPATION, TRAUMA, AND CARDIOVASCULAR DISEASE*. Ann Intern Med. 1961;54:229–243. doi: https://doi.org/10.7326/0003-4819-54-2-229
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Published: Ann Intern Med. 1961;54(2):229-243.
Cardiology, Emergency Medicine.
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