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A Journal on Forensic Medicine
Minerva Medicolegale 2012 September;132(3):207-16
Assessment of heart diseases in disability: new perspectives with modern diagnostic imaging
Iacopini S., Pieropan N., Cardellini C.
Dipartimento di Medicina Legale, Università di Torino, Torino, Italia
“Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control” from the universal declaration of human rights, United Nations, December 10, 1948. Every country, beginning from the modern age, tried to protect its citizens, with laws and services to guarantee health and welfare to every person and to every family. Among these, the civil disability is considered, in all its aspects all over the years, as a right protected by the state. The Italian law n. 104 (February 5, 1992) starts in considering illnesses as a dynamic process, also related to their permanent results, to their consequences on everyone work ability and also to the social impairment, and institutes corresponding economical providences. In this paper, we observed several different ways of medico legal evaluation, for heart diseases, according to the NYHA classification of 1964, this being easy and of fast employment, but having, on the contrary, a limit in the fact that it is based on symptoms, without the use of further examinations. Nowadays, some kind of heart disease evaluation cannot be properly used owing to the fact that in the last decades new evaluation technologies and imaging have deeply changed the general classification.