A Study on Relationships between Sudden Death and Data from Periodic Health Examination in Workers

自从“突然死亡”的主题在日本工人中受到限制，超过十年的时间。还有一种myocardial infarction，因为过度工作已经被认为是死亡的主要的因果关系，而它们之间的因果关系仍然存在。至少，周期性健康测试，在每一年的工作场所进行，似乎对这种死亡/疾病的预测有一点价值。由于这一原因，《工业安全和卫生法》（第44节）中的十个项目的重要性，一. e。血液压力，尿嘧啶，动物，肝脏功能，脂质，心电图（心电图）等。这项研究的主要结果如下： （1）心电图数据与那些突然和健康的工作者相比，这些工作者的心电图数据与工作者，但在异常波形中没有明显的差异。心电图数据在该周期性健康测试的时间内被捕获并不似乎对预测产生影响 ... More 突如其来的死亡之眼。（2）使用过去的参考资料查看的对猝死的预测最有影响的是什么？一些论文报道了心电图和心率变异性的心脏-心率校正QT间隔（QTc）是非常有用的，用于患有心肌梗死和糖尿病的患者的诊断。（3）对心血管疾病的相对风险的最合理估计是由移位工作引起的，有人建议在1.4左右。如何确定没有超心血管紊乱、移位工人和日间工人的移位工作影响的QTc和血液压力影响到1986年后，10年后仍在跟踪。轮班工人的QTc比日常工人长得多，并对轮班工作与延长QTc的调整模式比率（440毫秒D11/2 YD 1）为8.15 （90%置信区间， 1.31-50.5）。这些发现建议，即在移位工人中增加了心血管死亡率的风险可能是可归因于QTc的增加。Less（低）

Since a topic on the "sudden death" was limelighted in Japanese workers, more than ten years have passed. Although myocardial infarction due to overwork has been suggested to be a main causal disease of sudden death, the causation between them remains unclear. At least, periodic health examination, carried out in the workplace every year, seems to have little value for the prediction of such a death/disease. For this reason, the significance of ten items of the periodic health examination stipulated in the Industrial Safety and Health Act (44 sections), I.e., blood pressure, urinalysis, anemia, liver function, lipid, electrocardiogram (ECG), etc., is impeached.The main results of this research are as follows: (1) The ECG data were compared between workers who died suddenly and healthy workers, but no significant difference in the abnormal waveforms was found between them. The ECG data obtained at the time of the periodic health examination did not appear to be effective for the predict … More ion of sudden death. (2) What was the most effective for the prediction of sudden death was viewed by using the past references. Some papers have reported that the heart-rate corrected QT interval (QTc) of ECG and heart rate variability are very useful for the prognosis of patients with myocardial infarction and diabetes mellitus. (3) The most reasonable estimate of the relative risk for cardiovascular diseases induced by shift work has been suggested to be around 1.4. To determine whether shift work affects the QTc and blood pressure of workers without overt cardiovascular dysfunction, shift workers and day workers who underwent an ECG examination and blood pressure measurements in 1986 were followed for 10 years. The shift workers had a significantly longer QTc than the day workers, and the adjusted odds ratio of shift work to the prolonged QTc (440 msecィイD11/2ィエD1) was 8.15 (90% confidence interval, 1.31-50.5). These findings suggest that the increased risk for cardiovascular mortality in shift workers may be attributable to prolongation of the QTc. Less