Wrabec K, Parczewska T, Kusiak M, Chrzaszcz H, Bartoszek L
Oddziału Internistyczno-Kardiologicznego Wojewódzkiego Szpitala Specjalistycznego, Wrocławiu.
Kardiol Pol. 1990;33(11-2):10-6.
60 to 95% pts in the age group below 60 return to work after having* suffered the first M.I. Up to the present moment, it has not been proved whether such return influences in any (positive or negative) way the recurrence of M.I. or the mortality rate. Two groups of pts who underwent M.I. in the years 1976-84 were included in the long term questionnaire observation: 1. 222 men (mean age 49.3 +/- 3.8 yrs) who resumed work and; 2. 153 men (mean age 50.7 +/- 8.4 yrs) who did not return to work after the first M.I. All pts were sent the questionnaires by post annually. The aim of the questionnaire was to establish whether the patient is alive, if he underwent reinfarction and, in case of death--what was its cause. Until 1985 reinfarction occurred in 25%, and until 1989--in 33% of the pts who resumed work, and 42% of pts who did not. The mean value of reinfarction was about 1.4 in the first group and 1.5 in the latter. Until 1985 the death rate was respectively 15% and 12%. Until 1989--the death rate was 28% and 30%. Thus, the differences between those two groups were statistically insignificant. In conclusion, it may--indirectly--speak in favour of resuming work after the first M.I., showing that, although it does not decrease the reinfarction and mortality rates, it also does not increase the risk.
60至95%的60岁以下心肌梗死患者首次发病后恢复工作。到目前为止，尚未证实这种恢复工作是否会以任何（正面或负面）方式影响心肌梗死的复发或死亡率。两组在1976年至1984年间发生心肌梗死的患者被纳入长期问卷调查观察：1. 222名男性（平均年龄49.3±3.8岁）恢复工作；2. 153名男性（平均年龄50.7±8.4岁）首次心肌梗死后未恢复工作。所有患者每年通过邮寄方式收到问卷。问卷的目的是确定患者是否存活，是否经历了再梗死，如果死亡，死因是什么。到1985年，恢复工作的患者中有25%发生再梗死，到1989年，这一比例为33%；未恢复工作的患者中这一比例为42%。第一组再梗死的平均值约为1.4，后一组为1.5。到1985年，死亡率分别为15%和12%。到1989年，死亡率为28%和30%。因此，两组之间的差异无统计学意义。总之，这可能间接表明首次心肌梗死后恢复工作是有益的，表明虽然它不会降低再梗死率和死亡率，但也不会增加风险。
