title: [The occupational risk of hearing impairment associated with cardiovascular pathologies in the subjects engaged in 'noisy' industries].
abstract: The objective of the present study was to analyze the structure of concomitant somatic pathology in the subjects experiencing the occupational hearing problems. The study demonstrated the increase in the frequency of concomitant chronic diseases and the prevalence of polynosological conditions with the increasing severity of hearing impairment. It was shown that cardiovascular pathologies tend to enhance the risk of hearing loss in the employees engaged in «noisy» occupations. The cause-and-effect relationships were elucidated as the contribution of the "vascular" factor to the formation of occupational pathology of the organs of hearing. The clinical audilogical features of co-morbid occupational hearing impairment associated with vascular pathology were characterized by the accelerated development and progression of the hearing disorders with the gradual disappearance of the audiological signs characteristic of noise-induced lesions.
authors.affiliation: All-Russian Research Institute of Railway Hygiene, Rospotrebnadzor, Moscow, Russia, 125497.
authors.forename: V B
authors.initials: VB
authors.lastname: Pankova
authors.affiliation: F.F. Erisman Federal Research Centre of Hygiene, Rospotrebnadzor, Mytishchi, Moscow region, Russia, 131014.
authors.forename: E A
authors.initials: EA
authors.lastname: Preobrazhenskaya
authors.affiliation: F.F. Erisman Federal Research Centre of Hygiene, Rospotrebnadzor, Mytishchi, Moscow region, Russia, 131014.
authors.forename: I N
authors.initials: IN
authors.lastname: Fedina
mesh_terms: D000328:Adult; D001299:Audiometry / Q000379:methods; D002318:Cardiovascular Diseases / Q000453:epidemiology*; D015984:Causality; D015897:Comorbidity; D005260:Female; D006317:Hearing Loss, Noise-Induced / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology; D006801:Humans; D007221:Industry; D008297:Male; D008875:Middle Aged; D009623:Noise, Occupational / Q000009:adverse effects*; D009784:Occupational Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology; D012307:Risk Factors; D012426:Russia; D013223:Statistics as Topic