Les partenaires sociaux européens rendent compte de l'application de l'accord sur la réduction du stress professionnel Aujourd'hui, les représentants européens des employeurs et des travailleurs ont présenté un rapport sur l'application de leur accord-cadre sur le stress professionnel. Le stress est un grave problème de santé lié au travail et est considéré comme la première cause des jours de travail perdus en Europe. L'accord est destiné à permettre aux travailleurs et aux employeurs de collaborer en vue de mieux déceler, prévenir et gérer le stress. 
En Français: http://ec.europa.eu/employment_social/social_dialogue/docs/stress_ip081969_fr.pdf
En Anglais: http://ec.europa.eu/employment_social/social_dialogue/docs/stress_ip081969_en.pdf
Rapport des partenaires sociaux européens sur l'application de l'accord-cadre européen autonome sur le stress professionnel: http://ec.europa.eu/employment_social/social_dialogue/docs_fr.htm 
Dialogue social européen: http://ec.europa.eu/social/main.jsp?catId=329&langId=fr 

MYOCARDIAL INFARCTION AND CARDIAC REGULATION IN RELATION TO VIBRATION EXPOSURE , Bodil Björ , Umeå 2008
Copyright © 2008 by Bodil Björ , ISSN 0346-6612 , ISBN 978-91-7264-571-4 ,Printed by Print och Media, Umeå
ABSTRACT: Myocardial infarction is the most common cause of death among middle- aged men and women in Sweden. The major established risk factors for acute myocardial infarction are related to lifestyle, e.g smoking, obesity and hypertension. During the past few decades, the relation between various environmental exposures and myocardial infarction has also been addressed. The physical stressor, vibration, has been mentioned as one such possible occupational risk factor. One theory for pathomechanism is that exposure to vibration might cause a temporary and/or permanent disturbance in autonomic balance, thereby affecting cardiac regulation.
The purpose of this thesis was to assess the possible risk of myocardial infarction in work entailing exposure to vibration, and to study whether there is any relation between short-term exposure to vibration and cardiac regulation.
Epidemiological methods were applied to investigate a possible association between occupational exposure to vibration and myocardial infarction. Two study populations were used; one case-control study (n=475) and one cohort of iron-ore miners in Kiruna and Malmberget, Sweden (n=13621). In the former, the cases were first-time myocardial infarction patients and the controls were selected to match for sex, age and hospital catchment area. Job-exposure matrixes for vibration were established for both the case-control study and the cohort study.
In order to study acute effects on cardiac regulation, an experimental study was conducted on healthy subjects (n=20) who were exposed to hand-arm vibration exclusively and in combination with exposure to noise. The effect on the autonomic balance and thus cardiac regulation was measured by heart rate-variability.
In the case-control study, an increased risk of contracting myocardial infarction was found among occupations entailing vibration exposure. The results from the iron-ore mine cohort show an increased risk of myocardial infarction mortality compared to a reference population. The increment was higher for those younger than 60 years. Relative risks for myocardial infarction mortality increased with increasing exposure to vibration in the group at working-age and the increased risk remained after adjusting for exposure to dust. In the experimental study, exposure to hand-arm vibration was found to acutely affect the autonomic nervous system as the total heart-rate variability decreased during exposure to hand-arm vibration.
To conclude: work entailing exposure to vibration is a risk factor for myocardial infarction, increased myocardial infarction mortality attributed to exposure to vibration seems to be mainly observed at working-age, and exposure to hand-arm vibration acutely decreases heart-rate variability and thus affects heart-rate regulation.