Bicuspid Aortic Valve in Special Careers

Athletes, firefighters and pilots are often in intense working stress. They are prone to have heart attack, especially in the condition of a bicuspid aortic valve. Aortic regurgitation and aortic wall weakness are often complicated with bicuspid aortic valve, thereby placing these professionals in a more dangerous circumstance. An appropriate screening strategy and further annual cardiovascular work-up are indispensable in order to disqualify the professionals who are at risk, to prevent sudden cardiac death and to assure a safe working environment. Therefore, athletes, firefighters and pilots with a bicuspid aortic valve warrant regular follow-up with at least annual echocardiographic assessment. Waiver guidelines have to be strictly followed in order to avoid unnecessary losses.