[State of mental processes in the evaluation of rehabilitation potential of drivers following myocardial infarct].
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Biomedical subjects
Publications and source records attributed to M N Petrov.
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The paper presents the results of clinical and labour examinations of 51 drivers with cardiac arrhythmia. Long-term postinfarctional ECG monitoring was attempted in 30 drivers in the course of driving. The frequency of arrhythmia episodes correlated with the presence of extrasystole in acute and subacute period of the disease, anginal functional class, the size and time of myocardial infarction. Single episodes of ventricular extrasystole registered in the course of driving did not interfere with professional activities because such extrasystoles did not imply the risk of more severe arrhythmia. Labour prognosis in drivers with frequent, polytopic ventricular extrasystoles or fibrillation was much worse.
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When planning the average number of bed occupancy days per year at a hospital providing emergency hospitalization one should take into account the demurrage of reserve beds which are needed for urgent hospitalization of patients. The influence of emergency demurrage of reserve beds on occupancy rate is not determined by the absolute number of these beds and their share in the structure of hospital bed fund. The number of reserve beds depends on the number of emergency patients hospitalized and the average length of hospital stay.
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Cases of late applications for medical aid and refusals from hospital admission depend on the multiplicity of factors: the nature of pathological process, personal peculiarities of patients, sex, age and participation in the working process that determine their social status. As severity of disease increases, the role of other factors diminishes.
Cases of sudden death most frequent among coronary patients are becoming more common in the practice of therapeutists accounting for the one-fourth of the overall death rate in adult population. Most cases of sudden death take place outside hospital setting and terminate rapidly hindering effective resuscitation. Annual routine mass health examinations in accordance with current instructions fail to detect a great number of individuals at high risk for sudden death. This urges on further studies in this field aimed at development and introduction into wide outpatient practice of up-to-date methods of effective prevention of sudden death.
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