RESUMO
Myocardial infarction and coronary spasm are the main causes of sudden cardiac death among contract servicemen. However, 23% of such cases exhibit no organic pathology. Multifunctional analysis revealed a number of anamnestic, laboratory, and instrumental parameters correlating with sudden death. It is concluded that stratification of risks of sudden cardiac death requires taking into account not only biological and social factors but also some specific ones inherent in military service, such as performing general and command duties, combat missions, military education, night duties, etc.
Assuntos
Vasoespasmo Coronário/complicações , Morte Súbita Cardíaca/etiologia , Militares , Infarto do Miocárdio/complicações , Exposição Ocupacional/efeitos adversos , Adulto , Serviços Contratados , Vasoespasmo Coronário/mortalidade , Morte Súbita Cardíaca/epidemiologia , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/mortalidade , Estudos Retrospectivos , Medição de Risco , Fatores de Risco , Federação Russa/epidemiologia , Fatores Socioeconômicos , Taxa de Sobrevida/tendênciasRESUMO
Sudden death (SD) rate acquires threatening dimensions in industrialized countries. Upon the average SD rate is about 1 case of 1000 citizens. According to the SD patients autopsy results 85% had coronary heart disease, 10% had other cardiac pathology and 5% did not have any organic heart pathology. One of the SD causes in patients without organic cardiac pathology can be "channelpathy" - clinico-electrocardiographic syndromes, caused by disturbances of ion channel functions.
Assuntos
Morte Súbita/etiologia , Eletrocardiografia , Cardiopatias/fisiopatologia , Morte Súbita/epidemiologia , Saúde Global , Cardiopatias/complicações , Cardiopatias/metabolismo , Humanos , Incidência , Canais Iônicos/metabolismo , Miocárdio/metabolismo , Fatores de RiscoRESUMO
Sudden cardiac death (SCD) is a combined conception integrating various nosological forms of cardiac pathology. 80% of SCD cause is coronary heart disease, 20% are various cardiomyopathies, myocarditis, cardiovascular malformations and other rare diseases. One of cardiomyopathies is arrhythmogenic right ventricle cardiomyopathy or arrhythmogenic dysplasia of right ventricle.
