Makaridze O V, Ganelina I E
Kardiologiia. 1981 Jan;21(1):48-53.
Among 100 males examined 3 years after recovery from myocardial infarction 23% had progressive cardiac insufficiency which was found mostly in individuals who had been engaged in physical work before the infarction. In 1/3 of patients who had no obvious clinical signs of cardiac insufficiency, tolerance to physical exertion was reduced (rather more frequently in individuals who were engaged in physical work). The results of echocardiography bore evidence that left-ventricular contractile function was diminished in patients of all subgroups, even in those with no clinical signs or cardiac insufficiency and with high tolerance to physical exertion. The authors believe that the poorest prognosis in persons who were engaged in physical work is linked with the fact that they, more often than individuals engaged in mental work, were inclined to ignore the state of their health and therefore took no advantage of the available long-term dispensary service.
在心肌梗死康复3年后接受检查的100名男性中，23%出现进行性心脏功能不全，这主要见于梗死前从事体力劳动的个体。在没有明显心脏功能不全临床体征的患者中，三分之一的人运动耐力下降（从事体力劳动的个体更为常见）。超声心动图结果表明，所有亚组患者的左心室收缩功能均减退，即使是那些没有临床体征或心脏功能不全且运动耐力高的患者。作者认为，从事体力劳动的人预后最差与以下事实有关：与从事脑力劳动的个体相比，他们更倾向于忽视自身健康状况，因此没有利用现有的长期门诊服务。
