Akimova E V, Akimov M Y, Kayumova M M, Gafarov V V
Tyumen Cardiology Research Center - branch of Tomsk National Research Medical Center.
Tyumen Industrial University.
Ter Arkh. 2021 Jan 10;93(1):25-29. doi: 10.26442/00403660.2021.01.200589.
To establish associations of the prevalence of ischemic heart disease (IHD) and factors of psychoemotional stress in men of the open urban population in the age group 4564 years after two decades of life.
A cross-sectional epidemiological study using a model of the city of Tyumen was conducted on a representative sample of the population among males of mature age (4564 years). Based on standard epidemiological methods, IHD was established according to strict epidemiological criteria definite IHD. The study of the factors of psycho-emotional stress (depression, hostility, life exhaustion) was carried out according to the algorithms of the World Health Organization program MONICA-psychosocial. When calculating the odds ratio for the development of IHD, a low level of psycho-emotional stress factors was regarded as the absence of a sign, a combination of medium and high levels as a presence.
The prevalence of ischemic heart disease in the open population (on the model of Tyumen) according to strict epidemiological criteria in men aged 4554 years was 8.2%, at the age of 5564 years 19.2%, a predominance of painless form of ischemic heart disease was revealed. According to the levels of factors of psychoemotional stress in mature men, mainly the average level of depression and life exhaustion, a high level of hostility were established. In men of an open population (on the model of Tyumen), depending on the psychoemotional stress, a high risk of developing a certain coronary heart disease was established in the age categories 4554 and 5564 years old in the presence of depression, at the age of 5564 years in the presence of hostility or life exhaustion.
Consequently, the data obtained indicate the importance of further studying the factors of psychoemotional stress in men of mature age in Siberian populations, their relationships with conventional risk factors for coronary artery disease, as well as the advisability of preventive measures aimed at weakening the influence of not only conventional risk factors, but also factors of psycho-emotional stress. among the Russian population.
在经历二十年生活后，确定45至64岁城市男性开放人群中缺血性心脏病（IHD）患病率与心理情绪应激因素之间的关联。
在秋明市模型基础上，对成年男性（45至64岁）具有代表性的人群样本进行了一项横断面流行病学研究。依据标准流行病学方法，按照严格的流行病学标准确诊IHD。根据世界卫生组织MONICA心理社会项目算法，对心理情绪应激因素（抑郁、敌意、生活疲惫）进行研究。在计算IHD发生的比值比时，心理情绪应激因素水平低视为无该体征，中高水平组合视为有该体征。
按照严格的流行病学标准，秋明市模型开放人群中45至54岁男性缺血性心脏病患病率为8.2%，55至64岁为19.2%，显示出缺血性心脏病无痛形式占主导。根据成年男性心理情绪应激因素水平，主要确定为抑郁和生活疲惫的平均水平，敌意水平较高。在开放人群男性（秋明市模型）中，根据心理情绪应激情况，45至54岁和55至64岁年龄组在存在抑郁时患特定冠心病的风险较高，55至64岁在存在敌意或生活疲惫时风险较高。
因此，所获数据表明进一步研究西伯利亚人群成年男性心理情绪应激因素、它们与冠状动脉疾病传统危险因素的关系以及采取预防措施削弱不仅是传统危险因素而且还有心理情绪应激因素影响的可取性具有重要意义。 俄罗斯人群亦是如此。
