Hypertension screening of commercial divers from an occupational medicine perspective

Alejandro Garbino, Robert W. Sanders, Charles H. Mathers

Research output: Contribution to journalReview article

Abstract

Hypertension is one of the most common chronic diseases in the world: in the United States, it affects one-third of the adult population. Most cases are primary hypertension - with no identified cause - and significantly increase risk for cardiovascular disease and stroke. At NASA's Neutral Buoyancy Laboratory (NBL), there is a cadre of professional divers who provide underwater support during extravehicular activity training (EVAs, commonly referred to as "spacewalks") for astronauts. The NBL occupational health program requires regular "work-site" physical exams, including blood pressure checks, on at least a weekly basis. Although some blood pressures measured during such regular checks were elevated, the diagnosis and management of blood pressure was outside the scope of that occupational medicine program. As a result, there was no protocol to analyze and manage asymptomatic elevated blood pressure if and when it warranted physician follow-up. We therefore analyzed the blood pressure data from all divers in 2015, vetted the worksite physical and developed a referral pathway to ensure divers have access to effective management of their blood pressure while minimizing impact of such a program on daily operations.

Original languageEnglish (US)
Pages (from-to)133-139
Number of pages7
JournalUndersea and Hyperbaric Medicine
Volume44
Issue number2
StatePublished - Mar 1 2017

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Occupational Medicine
Blood Pressure
Hypertension
Extravehicular Activity
Workplace
United States National Aeronautics and Space Administration
Astronauts
Occupational Health
Chronic Disease
Cardiovascular Diseases
Referral and Consultation
Myocardial Infarction
Physicians
Population

Keywords

  • Blood pressure
  • Divers
  • Hypertension
  • Screening

ASJC Scopus subject areas

  • Medicine(all)
  • Pulmonary and Respiratory Medicine
  • Physiology (medical)

Cite this

Hypertension screening of commercial divers from an occupational medicine perspective. / Garbino, Alejandro; Sanders, Robert W.; Mathers, Charles H.

In: Undersea and Hyperbaric Medicine, Vol. 44, No. 2, 01.03.2017, p. 133-139.

Research output: Contribution to journalReview article

Garbino, A, Sanders, RW & Mathers, CH 2017, 'Hypertension screening of commercial divers from an occupational medicine perspective', Undersea and Hyperbaric Medicine, vol. 44, no. 2, pp. 133-139.
Garbino, Alejandro ; Sanders, Robert W. ; Mathers, Charles H. / Hypertension screening of commercial divers from an occupational medicine perspective. In: Undersea and Hyperbaric Medicine. 2017 ; Vol. 44, No. 2. pp. 133-139.
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