INTERRELATION OF RISK FACTORS OF CARDIOVASCULAR DISEASES AND PROFESSIONAL ACTIVITY IN MEN60 YEARS WITH MYOCARDIAL INFARCTION

Abstract

Background. The problem of cardiovascular diseases (CVD) and myocardial infarction (MI) is extremely significant for the men under 60 years currently in Russia due to high rates of morbidity, disability and mortality. They are exceeding the economically developed countries of the European Union, North America and Asia. Purposes and tasks. Investigation of CVD risk factors in males under 60 years with MI, depending on their professional activity to improve prevention strategies in these group. Materials and methods. Results of 566 in-patient men under 60 years with MI in St. Petersburg, Russia were analyzed. The prevalence of risk factors for CVD, concomitant diseases, clinical predictors and MI prognostic markers in these groups were evaluated. Results. The incidence of risk factors for CVD was very high and it was more than three per patient. The additional risk factors (chronic foci of infection, alcohol abuse, predictors associated with the risk of occupational pathology) is comparable to the spread of traditional predictors of CVD. The structure of CVD risk factors in a group of professional activities corresponds to that one in the general population, but has some differences. The oral infections, psychoemotional stress and participation in local military conflicts were additional significant risk factors for military personnel. The alcohol abuse, smoking and the risk of occupational pathology were important for manual workers. The hypodynamia, obesity and low adherence to medical activity were additional essentially for patients with brainwork. Conclusions. The features of the structure of CVD risk factors in males under 60 with MI, depending on professional activity, should be consider in prevention programs.