PHARMACOTHERAPY OF CARDIOVASCULAR DISEASES IN LOCOMOTIVE CREW WORKERS

Abstract

Cardiovascular pathology is considered one of the leading reasons for the professional unfitness of locomotive crew workers (LCW). Cardiac arrhythmias and elevated blood pressure numbers create prerequisites for the occurrence of cardiovascular catastrophes. Therefore, it seems relevant to investigate the structure of cardiovascular pathology and its pharmacotherapy in LCW from the standpoint of the safety of the use of various drugs among this group of patients. In the course of the study, a retrospective analysis of 100 medical records (machinists and their assistant) of the cardiology department of the Private healthcare institution Clinical Hospital "Russian Railways-medicine" Voronezh" was carried out. The results obtained indicate that various specified rhythm disturbances (41%) and hypertension (30%) in LCW. Holter ECG monitoring detects various types of rhythm and conduction disturbances in almost all the examined patients (supraventricular extrasystole in 94%, ventricular 51%). Analysis of the lipid spectrum confirms the presence of hypercholesterolemia, dyslipidemia. Among the drugs used there are those that belong to class I or II of the list "Medicines and traffic safety", but at the time of separation of the driver / assistant driver from work, their appointment is possible. There is a tendency to replace medications at discharge with safer ones (class III).