Optimal treatment of stable ischemic heart disease for those in the transportation industry is considered in the context of the individual’s health, as well as with the perspective that sudden impairment could have catastrophic consequences for others. This article focuses on two high risk occupations that one may encounter in practice: commercial motor vehicle drivers and commercial pilots. This article discusses coronary heart disease in patients in high risk occupations and covers current guideline recommendations for screening, treatment, and secondary prevention. The importance of the complimentary perspectives of the regulatory agency, medical examiners, physicians, and pilot or driver are considered in this narrative review, as are considerations for future guideline updates.

中文翻译：

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高风险职业的冠状动脉疾病评估和管理注意事项：商用车辆驾驶员和飞行员

对于运输行业的稳定型缺血性心脏病的最佳治疗是在个人健康的背景下考虑的，并且考虑到突然的损伤可能会给其他人带来灾难性的后果。本文主要关注实践中可能遇到的两种高风险职业：商用机动车辆驾驶员和商用飞行员。本文讨论高危职业患者的冠心病，并涵盖当前筛查、治疗和二级预防的指南建议。在这篇叙述性评论中考虑了监管机构、体检人员、医生和飞行员或驾驶员补充观点的重要性，以及未来指南更新的考虑因素。