Radiation Exposure, Training, and Safety in Cardiology.

Tamirisa, Kamala P; Alasnag, Mirvat; Calvert, Peter; Islam, Sabrina; Bhardwaj, Anju; Pakanati, Keerthana; Zieroth, Shelley; Razminia, Mansour; Dalal, Aarti S; Mamas, Mamas; Russo, Andrea M; Kort, Smadar

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. [Abstract copyright: © 2024 The Authors.]

Citation

Tamirisa, K. P., Alasnag, M., Calvert, P., Islam, S., Bhardwaj, A., Pakanati, K., …Kort, S. (2024). Radiation Exposure, Training, and Safety in Cardiology. JACC: Advances, 3(4), Article 100863. https://doi.org/10.1016/j.jacadv.2024.100863

• Journal Article Type: Article
• Acceptance Date: Jan 4, 2024
• Online Publication Date: Feb 29, 2024
• Publication Date: 2024-04
• Deposit Date: Jul 15, 2024
• Journal: JACC. Advances
• Electronic ISSN: 2772-963X
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 3
• Issue: 4
• Article Number: 100863
• DOI: https://doi.org/10.1016/j.jacadv.2024.100863
• Keywords: safety, cardiology, pregnancy, fluoroscopy, radiation, women in cardiology
• Public URL: https://keele-repository.worktribe.com/output/875305