Objective: In our study we aimed to determine the frequency of arrhythmias that we believe may affect driving safety. Methods and Results: Two hundred drivers were randomly selected from the heavy vehicle driver popul...Objective: In our study we aimed to determine the frequency of arrhythmias that we believe may affect driving safety. Methods and Results: Two hundred drivers were randomly selected from the heavy vehicle driver population (82 bus and 118 truck drivers, p = 0.08, q = 0.92, N = 1200, α = 0.01, d = 0.045). A questionnaire was completed via face to face interviews with the individuals including questions about their personal socio-demographic characteristics and symptoms for arrhythmias. An electrocardiography (ECG) was taken of the study participants using the Cardioline Delta 3 Plus Digital ECG machine. The cardiologist at the clinic evaluated the questionnaire and ECG for presence of arrhythmias. When indicated, ambulatory electrocardiography (Holter Monitoring) was performed for 24 hours in 133 individuals (71 driver and 62 control). In cases that had Holter examination;ventricular ectopy was identified in 25.4% and 22.6%, and supra-ventricular ectopy in 45.1% and 35.5% in the driver and the control groups;respectively. Ventricular tachycardia was detected in 2 patients. Arrhythmia frequencies were 59.1%, 54.8% and 57.1% in drivers, control and both groups respectively. Statistical differences between drivers and control group for rhythm disorders were not detected. Conclusions: Arrhythmias with lethal and devastating potential;need to be diagnosed and treated in professional drivers with extreme caution. The follow up and screening for heart diseases has a crucial role in preventing accidents and occupational diseases in drivers.展开更多
阵发性室上性心动过速（Paroxysmal supra ventricular tachycardia,PSVT）是急诊科常见的心律失常,简称室上速,是指室上性期前收缩连续发生3次或以上,起源于希氏束分叉以上部位的心动过速,多见于无器质性心脏病患者,具有突发突止的特...阵发性室上性心动过速（Paroxysmal supra ventricular tachycardia,PSVT）是急诊科常见的心律失常,简称室上速,是指室上性期前收缩连续发生3次或以上,起源于希氏束分叉以上部位的心动过速,多见于无器质性心脏病患者,具有突发突止的特点。患者起病突然,常出现发作性心悸、头昏、胸痛等症状,严重者可出现心力衰竭或心源性休克,甚至猝死,需尽快复律。食道心房调搏术是治疗PSVT一种快速有效的方法。有文献报道，食管，心房调搏对折返引起的PsVT有效率高达100％。展开更多
文摘Objective: In our study we aimed to determine the frequency of arrhythmias that we believe may affect driving safety. Methods and Results: Two hundred drivers were randomly selected from the heavy vehicle driver population (82 bus and 118 truck drivers, p = 0.08, q = 0.92, N = 1200, α = 0.01, d = 0.045). A questionnaire was completed via face to face interviews with the individuals including questions about their personal socio-demographic characteristics and symptoms for arrhythmias. An electrocardiography (ECG) was taken of the study participants using the Cardioline Delta 3 Plus Digital ECG machine. The cardiologist at the clinic evaluated the questionnaire and ECG for presence of arrhythmias. When indicated, ambulatory electrocardiography (Holter Monitoring) was performed for 24 hours in 133 individuals (71 driver and 62 control). In cases that had Holter examination;ventricular ectopy was identified in 25.4% and 22.6%, and supra-ventricular ectopy in 45.1% and 35.5% in the driver and the control groups;respectively. Ventricular tachycardia was detected in 2 patients. Arrhythmia frequencies were 59.1%, 54.8% and 57.1% in drivers, control and both groups respectively. Statistical differences between drivers and control group for rhythm disorders were not detected. Conclusions: Arrhythmias with lethal and devastating potential;need to be diagnosed and treated in professional drivers with extreme caution. The follow up and screening for heart diseases has a crucial role in preventing accidents and occupational diseases in drivers.
文摘阵发性室上性心动过速（Paroxysmal supra ventricular tachycardia,PSVT）是急诊科常见的心律失常,简称室上速,是指室上性期前收缩连续发生3次或以上,起源于希氏束分叉以上部位的心动过速,多见于无器质性心脏病患者,具有突发突止的特点。患者起病突然,常出现发作性心悸、头昏、胸痛等症状,严重者可出现心力衰竭或心源性休克,甚至猝死,需尽快复律。食道心房调搏术是治疗PSVT一种快速有效的方法。有文献报道，食管，心房调搏对折返引起的PsVT有效率高达100％。
