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Evaluation of selected risk factors for cardiovascular diseases and diabetes as a background for the prevention program in occupational healthcare

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Lipińska-Ojrzanowska A., Walusiak-Skorupa J., Ojrzanowski M., Marcinkiewicz A., Plewka M., Wiszniewska M.

International Journal of Occupational Medicine and Environmental Health

2021

vol. 34

issue 3

403-413

ObjectivesCardiovascular and metabolic disorders constitute major health problems in the working populations in Europe. The aim of this project was to evaluate the health condition of workers employed in a Polish research and medical institution, and then to establish the necessary preventive actions by creating a modern model of occupational healthcare integrated with civilization disease (CivD) prevention.Material and MethodsOverall, 100 workers voluntarily participated in a health program for CivD prevention during mandatory prophylactic examinations. Data from these examinations was collected in a system of electronic documentation to enable the analysis of the workers’ health condition and risk factors of CivDs.ResultsWomen accounted for 72% of the employees who voluntarily participated in the prevention program, and 80% of the subjects had university education. As regards the health condition, 27% of the patients had elevated systolic, and 23% diastolic, blood pressure, and 21% had an abnormal fasting glucose level. Stressful job was an important factor correlated with an excessive body mass index, diastolic blood pressure, as well as total and low-density lipoprotein cholesterol levels. Smoking, sedentary work and a lack of physical activity were significant factors for abdominal obesity. Generally, 94% of the program participants required some further interventions in lifestyle, diagnostics or treatment.ConclusionsCivilization disease prevention should focus on increasing physical activity both in leisure time and at the workplace as far as practicable. There is a need for implementing projects leading to occupational stress reduction and smoking cessation. Men as well as workers with vocational and elementary education need to be recruited for prevention programs dedicated to employees.

Takotsubo cardiomyopathy in the case of 72-year-old teacher after work-related psychological stress. Evolution of left ventricular longitudinal strain – Delayed but complete recovery in automated function imaging (AFI)

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Wierzbowska-Drabik K., Marcinkiewicz A., Hamala P., Trzos E., Lipiec P., Kurpesa M., Kręcki R., Plewka M., Kasprzak J. D.

International Journal of Occupational Medicine and Environmental Health

2017

vol. 30

issue 4

681-683

Takotsubo cardiomyopathy (TC) is related to a transient systolic dysfunction of left ventricle (LV), accompanied by clinical and electrocardiographic symptoms of myocardial ischemia in the absence of hemodynamically significant coronary artery disease. Takotsubo cardiomyopathy is usually provoked by a psychologically or/and physically stressful event which may be related to occupational activities. Although visually assessed evolution of LV function is well documented, the data concerning strain changes is sparse and various patterns of deformation abnormalities are suggested. We have described a 72-year-old woman with chest pain related to a lecture given at the meeting of the Senior University, fulfilling all the Mayo Clinic criteria of the TC. The longitudinal strain analysis with automated function imaging (AFI) documented severe impairment and stepwise recovery of regional and global LV contractility. The case described confirms that accurate diagnosis, treatment and documenting of functional improvement in takotsubo cardiomyopathy may enable the return to occupational activities even for elderly persons. Int J Occup Med Environ Health 2017;30(4):681–683

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2 International Journal of Occupational Medicine and Environmental Health

2 Marcinkiewicz A.

2 Plewka M.

1 Hamala P.

1 Kasprzak J. D.

1 Kręcki R.

1 Kurpesa M.

1 Lipiec P.

1 Lipińska-Ojrzanowska A.

1 Ojrzanowski M.

1 Trzos E.

1 Walusiak-Skorupa J.

1 Wierzbowska-Drabik K.

1 Wiszniewska M.

1 2021

1 2017

Search results

Evaluation of selected risk factors for cardiovascular diseases and diabetes as a background for the prevention program in occupational healthcare

Takotsubo cardiomyopathy in the case of 72-year-old teacher after work-related psychological stress. Evolution of left ventricular longitudinal strain – Delayed but complete recovery in automated function imaging (AFI)