Research summary, original research, 2026

Increasing Awareness and Reducing Occupational Hazards in the Cardiac Catheterization and Electrophysiology Laboratories: Working to Eliminate Lead and Complications of Radiation in Cardiovascular Team Study

Torbey E, Ilyas S, Tamirisa K, Zhang Y, Steelman C, Has P, et al.. JACC. Advances. 2026

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In plain language

In a US survey of 306 cath and electrophysiology (EP) lab physicians, nurses and technologists, 62% reported musculoskeletal pain; wearing lead over 4 hours daily was linked to orthopedic injury. Pregnant workers reported few accommodations. Self-reported uptake of a brief ergonomics video was high.

At a glance

Type of study
Original research, Cross-sectional survey
Who was studied
Interventional cardiologists, Electrophysiologists, Nurses, Radiologic technologists, Other physicians, Mixed lab staff
Size
n = 306 survey respondents
Where
United States
Summary based on
the full text

What it found

  • Wearing a lead apron more than 4 hours per day was independently associated with orthopedic injury, as was age over 50.

    Key figures: aOR 2.39; 95% confidence interval (CI) 1.31-4.39; P = 0.005 (lead >4 h/day); aOR 2.19; 95% CI 1.15-4.16; P = 0.02 (age >50)

  • Musculoskeletal pain was highly prevalent, with some requiring surgery.

    Key figures: 62% with pain; 7.5% required surgery

  • Physicians had higher adjusted odds of self-reported cataract or malignancy than nonphysician staff.

    Key figures: aOR 3.88; 95% CI 1.29-11.57; P = 0.02

  • Among those who had been pregnant, many reported work-worsened discomfort and limited workplace accommodations, and most wore lead during pregnancy.

    Key figures: 41.5% worsened discomfort; 52.1% no opportunity to adjust load; 76% unable to reduce hours; 68.4% wore lead

  • Among follow-up respondents who recalled the video, most reported adopting the ergonomic techniques.

    Key figures: 99 follow-up responses; 34.1% recalled video; 75.9% implemented techniques

Limits to keep in mind

Cross-sectional, self-reported survey with selection bias, no dose measurement, and an estimated low response rate (306 of about 4,200 surveyed; 99 follow-up responses). The video evaluation had no control group and very low follow-up, so effectiveness cannot be generalized.

How this summary was made

ORSIF prepared this summary with AI assistance from the full text of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.