Abstract
The vocational reintegration of patients after an acute cardiac event is a crucial step towards complete convalescence from both the social and individual point of view. Residual job ability (partial, total/temporary, or permanent disability) depends on existing cardiac, psycho-cognitive and professional barriers. Return to work (RTW) rates are determined by left ventricular function, residual ischaemia, and heart rhythm stability, as well as by the occupational requirement profile, such as blue- or white-collar work, night shifts, and the ability to commute. Psychosocial factors, including depression, self-perceived health situation, and pre-existing cognitive impairment, determine the reintegration rate to a significant extent. Patients at risk of poor vocational outcomes should be identified early in the rehabilitation process in order to avoid failure of reintegration and to prevent social and professional exclusion with adverse psychological and financial consequences.
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