[Dynamics of rates of fatal and nonfatal complications of hypertension in a population of workers subjected to occupational vibration (15-year follow-up)].
Prospective monitoring of fatal and nonfatal myocardial infarctions and strokes was carried out in a population of workers with professional exposure to vibration. Duration of monitoring was 15 years. In the end of this period implementation of a program of preventive intervention was associated with lowering of rates of cerebral and coronary events (3.0 vs. 5.2% among nonparticipants in this program). In 5 years after cessation of the program an increase of risk of cardiovascular complications especially that of strokes occurred. Changes of rates of events in a group of workers not subjected to special intervention were less pronounced. Negative dynamics of event rates in the group of active prevention could be attributed to continuing action of unfavorable occupational factor.
Drobyshev
V A
VA
Efremov
A V
AV
Loseva
M I
MI
Britov
A N
AN
Sukharevskaia
T M
TM
Bel'tsova
A I
AI
D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009203:Myocardial Infarction / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality / Q000517:prevention & control; D016273:Occupational Exposure; D011446:Prospective Studies; D012306:Risk; D020521:Stroke / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality / Q000517:prevention & control; D013997:Time Factors; D014732:Vibration / Q000009:adverse effects*