Saratov JOURNAL of Medical and Scientific Research

Features of medical examination of suitability of employees for working at nuclear power plant after myocardial infarction

Year: 2014, volume 10 Issue: №4 Pages: 805-809
Heading: cardiac surgery Article type: Original article
Authors: Bushmanov A.Yu., Krasnyuk V.I., Korenkov V.V., Metlyaeva N.A., Afonin S.A., Ustyugova A.A.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency, Public Limited Company "Concern "Rosenergoatom"

Aim: examination of professional qualification of NPP personnel suffering from post-infarction cardiosclerosis, to work with sources of ionizing radiation with the formation of proposals of amendments to the order of the health Ministry from 12.04.2011 No. 302-N. Material and Methods. Medical database by making indicators with individual registration forms made from 269 persons with postinfarction cardiosclerosis staff of main and auxiliary production of Russian NPPs (272 men and 7 women), average age of the examined patients was 56.2 ± 7.0 years; the total number the analyzed characteristics, reflected in the generated database was 49 lines. Results. The results of the risk stratification of sudden cardiac death with the formation of risk groups and proposed draft amendments to the Order of the health Ministry of the Russian Federation of 12 April 2011 No. 302-n order differential approach to the assessment of competency in hazardous conditions patients with postinfarction cardiosclerosis. Conclusion. On the basis of clinical examination and assessment of risk for sudden cardiac death, it is necessary to make changes in the List of medical contraindications for admission to works in accordance with section 4 of Annex No. 3 to the Order of Ministry of health, April 12, 2011 No. 302 n in terms of access to work with ionizing radiation to persons suffering from post-infarction cardiosclerosis; to identify among patients postpartum cardiosclerosis persons not fit to continue the work in contact with sources of ionizing radiation, it is necessary referral to additional examination in occupational disease Centers in accordance with the Order of Ministry of health, April 12, 2011 No. 302 N.

1. Boytsov SA, Nikulin NN, Yakushin SS, et al. Sudden warm death at sick IBS: prevalence, detectability and problems of the statistical account. Russian cardiological magazine 2011; 2: 69-74
2. Yakushin SS, Boytsov SA, Furmenko Gl, et al. Sudden warm death at patients with coronary heart disease by results of the Russian multicenter epidemiological research of incidence, mortality, quality of diagnostics and treatment of the IHD sharp forms (RESONANCE). кардиологический журнал 2011; 2: 59-64)
3. Sudden warm death: recommendations of the European cardiological society (ed. prof. NA Masur). Moscow: Medical practice, 2003; 148 p.
4. Bolduyeva SA, Leonova IA, Burak TYa, et al. Fraction of emission and other predictors of sudden cardiac death at the patients who had a myocardial infarction. Heart failure 2008; 9 (3): 111-117
5. Bolduyeva SA, Shabrov AV, Lebedev DS, et al. Forecasting and prevention of sudden cardiac death at the patients who had a myocardial infarction. Cardiovascular therapy and prevention 2008; 7 (3): 56-62
6. Shlyakhto EV, Novikova IV, Rudakov MM, Treshkur TV. Ventricular arrhythmias at patients with coronary heart disease: modern concepts of an etiopathogenesis, diagnostics and treatment. Bulletin of Arrhythmology 2002; 30: 72-75
7. National recommendations about definition of risk and prevention of sudden warm death. Clinical practice No. 4, 2012. 14, No. 7 (81).Russian (Национальные рекомендации OCCH, PKO и РНМОТ по диагностике и лечению ХСН (четвертый пересмотр). Сердечная недостаточность 2013 Т. 14, № 7 (81)
8. National recommendations of SSHF, RCS and RNMST about diagnostics and treatment of CHF (fourth revision). Heart Failure. 2013; Vol. 14, No. 7 (81)
9. Bigger JT Jr. Identification of patients at high risk for sudden cardiac death. Am J Cardiol 1984; 54 (9): 3D-8D
10. Buxton AE, Lee KL, Fisher JD, et al. A randomized study of the prevention of sudden death in patients with coronary artery disease: Multicenter Unsustained Tachycardia Trial Investigators. N Engl J Med 1999; 341: 1882-1890
11. Cupples LA, Gagnon DR, Kannel WB. Long and short term risk of sudden coronary death. Circulation 1992; 85: 111-118
12. De BacquerD, De Backer G, Kornitzer M, etal. Prognostic value of ischemic electrocardiographic findings for cardiovascular mortality in men and women. J Am Coll Cardiol 1998; 32: 680-685.

2014_04-01_805-809.pdf325.74 KB

No votes yet