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ELECTRICAL INSTABILITY OF MYOCARDIUM IN YOUNG MEN WITH ARTERIAL HYPERTENSION AND OCCUPATIONAL STRESS

https://doi.org/10.15829/1560-4071-2014-8-73-76

Abstract

Aim. To evaluate prevalence of electrical instability of the heart in persons with stressogenic professions by a complex evaluation of the parameters of clinical and functional methods of investigation.

Material and methods. Totally 154 men included with AH of I-II stages; first group consisted of 78 motormen and their assistants having stressogenic profession, second grup consisted of 76 persons with minimal psychoemotional tension. A clinical and functional investigation was performed.

Results. In 1st group "possible existence" of delayed atrial and ventricular potentials was twice and three times (resp.) more prevalent comparing to the 2nd (with p=0,0001 and p=0,0002, resp.). A rigid circadian index in the 1st group was 1,7 times more prevalent (Х2=10,5; p<0,001). In those having AH with concomitant chronic gastritis and gastric or duodenal ulcer disease the circadian rigidity was 1,6 times more prevalent (x2 =5,9; p<0,05) in the 1st group. In first stage AH the shift of vagosympathetic balance to sympathic type is more common for the 1st group than for the 2nd.

Conclusion. In young men with AH and occupational stress comparing to men with low — stress profession the signs of electrical instabilty are more common.

About the Authors

I. V. Osipova
SEI HPE The Altai State Medical University, Barnaul
Russian Federation

Competing Interests:

 

 


O. N. Antropova
SEI HPE The Altai State Medical University, Barnaul
Russian Federation


K. I. Shakhmatova
Non-State Healthcare Institution the Departmental Clinical Hospital at the Barnaul station, Russia.
Russian Federation


V. D. Kondakov
SEI HPE The Altai State Medical University, Barnaul
Russian Federation


References

1. Komoljatova VN. Characteristics of proarrhythmogenic markers of myocardial electric instability in children and adolescents. Moscow; 2009. Russian (Комоля това В. Н. Характеристика проаритмогенных маркеров электрической нестабильности миокарда у детей и подростков: автореф. дис. кандидата мед. наук. Москва; 2009).

2. Rjabykina GV, Vishnjakova NA, Blinova EV, et al. Opportunities of dispersion ECG to estimate the prevalence of cardiovascular disease. Cardiovascular Therapy and Prevention 2010; 3: 98-105. Russian (Рябыкина Г. В., Вишнякова Н. А., Блинова Е. В. и др. Возможности метода дисперсионного картирования ЭКГ для оценки распространенности сердечно-сосудистых заболеваний. Кардиоваскулярная терапия и профилактика. 2010; 3: 98-105).

3. Bajbursjan ED, Kiseleva GI, Malofeeva NR, et al. Heart rate variability according to the daily monitoring of the electrocardiogram in patients with arterial hypertension (Materials of the Russian National Cardiology Congress). Cardiovascular Therapy and Prevention 2006; 5 (6): 199. Suppl. Russian (Байбурсян Е. Д. Киселева Г. И., Малофеева Н. R и др. Вариабельность ритма сердца по данным суточного мониторирования электрокардиограммы у больных артериальной гипертензией (Материалы Российского Национального Конгресса Кардиологов). Кардиоваскулярная терапия и профилак¬тика 2006; 5 (6): 199, приложение).

4. Pogosova NV. Stress in cardiac patients. Clinical aspects of the impact on the prognosis and tactics of a general practitioner in the correction of stress. Serdce 2008; 6: 310-15. Russian (Погосова Н. В. Стресс у кардиологических больных. Клинические аспекты влияния на прогноз и тактика врача общей практики в коррекции стресса. Сердце 2007; 6: 310-15).

5. Zfasman AZ. Course Railway Medicine. Moscow: Reprocentr; 2009; p.328. Russian (Цфасман А. З. Курс железнодорожной медицины. М.: Репроцентр, 2009; с. 328).

6. Grachev SV, Ivanov GG, Syrkin AL. New methods of electrocardiography. Moscow: Technosfera; 2007; 552. Russian (Грачев С. В., Иванов Г. Г., Сыркин А. Л. Новые методы электрокардиографии. М.: Техносфера; 2007; 552 с.).

7. National Guidelines for the definition of risk and prevention of sudden cardiac death. Archives of Internal Medicine. Moscow: Sinaps; 2013; 4 (12): 5-15. Russian (Национальные Рекомендации по определению риска и профилактике внезапной сердечной смерти. Архив внутренней медицины. М.: Синапс; 2013; 4 (12): 5-15.

8. Antropova ON. Arterial hypertension in the workplace and its prevention in railway workers. Novosibirsk: Novosibirsk; 2009. Russian (Антропова О. Н. Артериальная гипертония на рабочем месте и ее профилактика у работников железнодорожного транспорта: автореф. дис. докт. мед. наук. Новосибирск: Новосибирск; 2009).

9. At'kov OJu, Kraevoj SA, Efimov NV, et al. Opportunities to optimize the control of arterial hypertension in workers locomotive crews through the use of automated pre- trip inspections. Kardiologija 2008; 10: 34-7. Russian (Атьков О. Ю., Краевой С. А., Ефимов Н. В. и др. Возможности оптимизации контроля артериальной гипертензии у работников локомотивных бригад на основе использования автоматизированной системы предрейсовых осмотров. Кардиология 2008, 10: 34-7.

10. Osipova IV, Antropova ON, Pyrikova N.V, et al. Features of Diagnosis and treatment of hypertension in the workplace. LAP LAMBERT Academic Publishing; 2012; 212. Russian (Осипова И. В. Антропова О. Н., Пырикова Н. В. и др. Особенности диагно¬стики и течения "Гипертонии на рабочем месте". Германия: LAP LAMBERT Academic Publishing; 2012; 212).


Review

For citations:


Osipova I.V., Antropova O.N., Shakhmatova K.I., Kondakov V.D. ELECTRICAL INSTABILITY OF MYOCARDIUM IN YOUNG MEN WITH ARTERIAL HYPERTENSION AND OCCUPATIONAL STRESS. Russian Journal of Cardiology. 2014;(8):73-76. (In Russ.) https://doi.org/10.15829/1560-4071-2014-8-73-76

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ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)