Sangyo eiseigaku zasshi = Journal of occupational health最新文献

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Sangyo eiseigaku zasshi = Journal of occupational health Pub Date : 2023-01-01 DOI: 10.1539/sangyoeisei.S23001
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引用次数: 0
Sangyo eiseigaku zasshi = Journal of occupational health Pub Date : 2023-01-01 DOI: 10.1539/sangyoeisei.S23002
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引用次数: 0
Total Health Promotion Plan (THP)の運動負荷試験をきっかけにして発見される無症候性心筋虚血,運動誘発性不整脈 通过Total Health Promotion Plan (THP)运动负荷试验发现的无症状性心肌缺血和运动诱发性心律失常
Sangyo eiseigaku zasshi = Journal of occupational health Pub Date : 2001-03-20 DOI: 10.1539/sangyoeisei.kj00002552452
Masataka Iwane, Yoshimi Shibe, Katsuyuki Itoh, Fujihisa Kinoshita, Yoshiyuki Kanagawa, Mami Kobayashi, Kouichi Mugitani, Masanori Ohta, Hiroshi Ohata, Akiyoshi Yoshikawa, Zentaro Ikuta, Yoshinari Nakamura, Osamu Mohara
{"title":"Total Health Promotion Plan (THP)の運動負荷試験をきっかけにして発見される無症候性心筋虚血,運動誘発性不整脈","authors":"Masataka Iwane, Yoshimi Shibe, Katsuyuki Itoh, Fujihisa Kinoshita, Yoshiyuki Kanagawa, Mami Kobayashi, Kouichi Mugitani, Masanori Ohta, Hiroshi Ohata, Akiyoshi Yoshikawa, Zentaro Ikuta, Yoshinari Nakamura, Osamu Mohara","doi":"10.1539/sangyoeisei.kj00002552452","DOIUrl":"https://doi.org/10.1539/sangyoeisei.kj00002552452","url":null,"abstract":": We investigated the prevalence and characteristics of ischemic heart disease especially silent myocardial ischemia (SMI) and arrhythmia in need of careful observation in the exercise stress tests in the Total Health Promotion Plan (THP), which was conducted between 1994-96 for the purpose of measuring cardiopulmonary function. All workers (n = 4,918, 4,426 males) aged 18-60 yr old in an occupational field were studied. Exercise tests with an ergometer were performed by the LOPS protocol, in which the maximal workload was set up as a presumed 70-80% maximal oxygen intake, or STEP (original multistage protocol). ECG changes were evaluated with a CC5 lead. Two hundred and fifteen people refused the study because of a common cold, lumbago and so on. Of 4,703 subjects, 17 with abnormal rest ECG and 19 with probable anginal pain were excluded from the exercise tests. Of 4,667 who underwent the exercise test, 37 (0.79%) had ischemic ECG change, and 155 (3.32%) had striking arrhythmia. These 228 subjects then did a treadmill exercise test with Bruce protocol. Twenty-two (0.47% of 4,703) showed positive ECG change, 9 (0.19%) of 22 had abnormal findings on a 201Tl scan. 8 (0.17%) were diagnosed as SMI (Cohn I), in which the prevalence of hypertension, hyperlipidemia, diabetes mellitus, smoker and positive familial history of ischemic heart disease was greater than that of all subjects. In a 15-30 month follow up, none has developed cardiac accidents. Exercise-induced arrhythmia was detected in 11 (0.23%) subjects. Four were non-sustained ventricular tachycardia without any organic disease, 4 were ventricular arrhythmia based on cardiomyopathy detected by echocardiography, 2 were atrial fibrillation and another was WPW syndrome. It is therefore likely that the ergometer exercise test in THP was effective in preventing sudden death caused by ischemic heart disease or striking arrhythmia.","PeriodicalId":94204,"journal":{"name":"Sangyo eiseigaku zasshi = Journal of occupational health","volume":"23 1","pages":"32-39"},"PeriodicalIF":0.0,"publicationDate":"2001-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89082173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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