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[患有缺血性心脏病伴节律紊乱的机动车驾驶员的工作能力专业评估及其社会和职业康复的可能性]

[The work capacity expertise of motor vehicle drivers suffering from IHD with rhythm disorders and the possibilities for their social and vocational rehabilitation].

作者信息

Petrov M N, Shvartsman Z D, Gavrilova E V

出版信息

Ter Arkh. 1995;67(9):21-3.

PMID:7495033
Abstract

The paper presents the results of clinical and labour examinations of 51 drivers with cardiac arrhythmia. Long-term postinfarctional ECG monitoring was attempted in 30 drivers in the course of driving. The frequency of arrhythmia episodes correlated with the presence of extrasystole in acute and subacute period of the disease, anginal functional class, the size and time of myocardial infarction. Single episodes of ventricular extrasystole registered in the course of driving did not interfere with professional activities because such extrasystoles did not imply the risk of more severe arrhythmia. Labour prognosis in drivers with frequent, polytopic ventricular extrasystoles or fibrillation was much worse.

摘要

本文介绍了对51名心律失常驾驶员进行临床和劳动能力检查的结果。对30名驾驶员在驾驶过程中进行了长期心肌梗死后心电图监测。心律失常发作的频率与疾病急性期和亚急性期室性早搏的存在、心绞痛功能分级、心肌梗死的大小和时间相关。驾驶过程中记录到的单发室性早搏并不影响职业活动,因为此类室性早搏并不意味着有更严重心律失常的风险。频发、多源性室性早搏或房颤的驾驶员劳动能力预后要差得多。

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