High-definition electrocardiography, heart rate variability and QT interval assessment in coronary heart disease diagnostics during professional medical examination of railroad workers
Aim. To investigate the potential of high-definition electrocardiography (HD-ECG), heart rate variability (HRV) and QT interval assessment in diagnosing «silent» myocardial ischemia (SMI) during professional expertise of railroad locomotive drivers. Material and methods. Thirty-eight relatively heal...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
«SILICEA-POLIGRAF» LLC
2006-02-01
|
| Series: | Кардиоваскулярная терапия и профилактика |
| Subjects: | |
| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/1113 |
| Summary: | Aim. To investigate the potential of high-definition electrocardiography (HD-ECG), heart rate variability (HRV) and QT interval assessment in diagnosing «silent» myocardial ischemia (SMI) during professional expertise of railroad locomotive drivers. Material and methods. Thirty-eight relatively healthy, but with coronary heart disease (CHD) risk factors, railway locomotive drivers were examined (mean age 45.5±7 years). Bicycle stress test, 24-hour ECG monitoring, echocardiography (EchoCG), myocardial scintigraphy (if necessary), ECG, HD-ECG, and HRV assessment were performed. Results. During the study, new CHD cases were diagnosed in 15 railroad locomotive drivers. 24-hour ECG monitoring was the most effective method for SMI diagnostics. SMI episodes were registered at 24-hour ECG monitoring in 73% of all cases. In SMI patients, SAQRS and QTc-max were the most informative parameters. Conclusion. Non-invasive ECG diagnostics methods: HD-ECG, HRV and interval QT assessment could be used, together with bicycle stress test and 24-hour ECG monitoring, during professional expertise of railroad workers. |
|---|---|
| ISSN: | 1728-8800 2619-0125 |