ARITMOLOGIC VIOLATIONS IN POPULATIONS OF PEOPLE LIVING IN NORMAL AND EXTREME CLIMATIC CONDITIONS, WITH NO SIGNS OF SOMATIC PATHOLOGY, AGGRAVATING THE RISK OF CARDIOVASCULAR DISEASE
https://doi.org/10.22328/2413-5747-2019-5-3-7-16
Abstract
Heart rhythm disorders are presented one of the toughest little studied and, in this regard, current problems in cardiology among different populations living in different climatic and geographical conditions. Changes in normal pesmeker heart activity as identified in diseases of internal organs, and apparently healthy people, civilians and soldiers from various law enforcement agencies. Arrhythmia is a serious problem for both civilian and military health care, in view of the fact that there is a direct correlation with a high risk of cardiovascular complications and sudden (primarily aritmogenic Genesis) death. In addition, arrhythmia entail substantial economic burden in their diagnosis and treatment. Special attention should be paid to heart rhythm disorders in athletes and military personnel at the time of physical training standards. Primarily these are «harmless» violations as episodes or permanent migration of rhythm in the Atria, bradycardia, sinus arrhythmia. On the analysis of the studied Russian and world literature, a definite view on the incidence of various arrhythmias and conduction, residing in various climate and geographical areas, and the data obtained is directly dependent on applied research methodologies.
About the Authors
Yurij N. ZakrevskijRussian Federation
Severomorsk
Alexander G. Shevchenko
Russian Federation
Severomorsk
Sergej A. Bondar
Russian Federation
Severomorsk
Dmitrij O. Balahnov
Russian Federation
Severomorsk
Vladimir Р. Butikov
Russian Federation
Severomorsk
Vlada I. Kabisovа
Russian Federation
Severomorsk
Andrej A. Nesterov
Russian Federation
Severomorsk
References
1. Klich A., Kocemba J., Potocka-Plazak K., Przegl Lek. Rhythm and conduction disorders among the adult population // Epidemiologic data. 1994. Vol. 51, No. 2. P. 104–106.
2. Гоголашвили Н.Г., Новгородцева Н.Я., Поликарпов Л.С. Частота аритмий сердца в популяции коренного сельского населения Якутии // Сибирский медицинский журнал (Иркутск). 2004. № 2. С. 79–82.
3. Chow G.V., Marine J.E, Fleg J.L. Epidemiology of arrhythmias and conduction disorders in older adults // Clin. Geriatr. Med. 2012. Vol. 28, No. 4. P. 539–553.
4. Shkolnikova M.A., Shubik Yu.V., Shalnova S.A., Shkolnikov V.M., Vaupel D.V. Cardiac arrhythmias in the elderly and their Association with the characteristics of health and mortality. Bulletin of Arrhythmology, 2007, No. 49, рр. 5–13 (In Russ.)
5. Zubarev M.A., Korneevskiy M.Yu., Ivanko O.Yu. Features of arrhythmias set for outpatient diagnostic survey of female workers ties. Bulletin of Arrhythmology, 2000, No. 16, рр. 59–61 (In Russ.)
6. Ban A.S., Ponomarenko I.N., Zagorodnij G.M. Heart Rhythm and its abnormalities in highly trained athletes play sports (basketball, volleyball), Medical journal. Minsk, 2010, рр. 36–38 (In Russ.)
7. Zemtsovsky E.V. Sports cardiology. Saint Petersburg: Izdatel’stvo Hippocrates, 1995, 448 p. (In Russ.)
8. Alasti M., Omidvar В., Jadbabaei M.H. Heart and Athlete // J. Tehran Heart Cent. 2010. Vol. 5, No. 1. P. 1–8.
9. Malhotra V.K., Singh N., Bishnoi R.S., Chadha D.S., Bhardwaj P., Madan H., Dutta R., Ghosh A.K., Sengupta S., Perumal P. The prevalence of abnormal ECG in trained sportsmen // Med J. Armed Forces India. 2015. Vol. 71, No. 4. P. 324–329.
10. Hingorani P., Karnad D.R., Natekar M., Kothari S., Narula D. Baseline and new-onset morphologic ECG abnormalities in healthy volunteers in phase I studies receiving placebo: changes over a 6-week follow-up period // J. Clin. Pharmacol. 2014. Vol. 54, No. 7. P. 776–784.
11. Shulman V.A., Egorov D.F., Matyushin G.V., Vygovskyy A.B. Syndrome of weakness of sinus node. Saint Petersburg, 1995, 440 р. (In Russ.)
12. Dubey M., Rasbogi S.K. Sick sinus syndrome // J. Assoc Physicians India. 1984. Vol. 32, No. 6. P. 513–515.
13. Jensen P.N., Gronroos N.N., Chen L.Y., Folsom A.R., Filippi C., Heckbert S.R, Alonso A. Incidence of and risk factors for sick sinus syndrome in the general population // J. Am. Coll. Cardiol. 2014. Vol. 64, No. 6. P. 531–538.
14. De Bacquer D., De Backer G., Kornitzer M. Prevalence of ECG findings in large population based samples of men and women // De Heart. 2000. Vol. 84, No. 6. P. 625–633.
15. Gogolashvili N.G., Novgorodtseva N.Ya., Polikarpov L.S., Karpov R.S. Heart arrhythmia Frequency in the population of the rural population of the Krasnoyarsk territory. Therapeutic archive, 2004, No. 1, рр. 41–44 (In Russ.)
16. Fleg J.L., Kennedy H.L. Cardiac arrhythmias in a healthy elderly population: detection by 24-hour ambulatory electrocardiography // Chest. 1982. Vol. 81, No. 3. P. 302–307.
17. Prineas R.J, Le A., Soliman E.Z., Zhang Z.M., Howard V.J., Ostchega Y., Howard G. United States national prevalence of electrocardiographic abnormalities in black and white middle-age (45-to 64-year) and older (≥65-year) adults (from the Reasons for Geographic and Racial Differences in Stroke Study) / Reasons for Geographic and Racial Differences in Stroke (REGARDS) Investigators // Am. J. Cardiol. 2012. Vol. 109. P. 1223–1228.
18. Hingorani P., Natekar M., Deshmukh S., Karnad D.R., Kothari S., Narula D., Lokhandwala Y. Morphological abnormalities in baseline ECGs in healthy normal volunteers participating in phase I studies // Indian J. Med. Res. 2012. Vol. 135. P. 322–330.
19. Hingorani P, Karnad D.R, Natekar M., Kothari S., Narula D. Baseline and new-onset morphologic ECG abnormalities in healthy volunteers in phase I studies receiving placebo: changes over a 6-week follow-up period // J. Clin. Pharmacol. 2014. Vol. 54, No. 7. P. 776–784.
20. Lok N.S., Lau C.P. Prevalence of palpitations, cardiac arrhythmias and their associated risk factors in ambulant // Int. J. Cardiol. 1996. Vol. 54, No. 3. P. 231–236.
21. Kiatchoosakun S., Pachirat O., Chirawatkul A., Choprapawan C., Tatsanavivat P. Prevalence of cardiac arrhythmias in Thai community // J. Med. Assoc. Thai. 1999. Vol. 82, No. 7. P. 727–733.
22. Zubarev M.A., Korneevskiy M.Yu., Ivanko O.Yu. Features of arrhythmias set for outpatient diagnostic survey of female workers ties. Journal of Arrhythmology. 2000. No. 16. P. 59–61 (In Russ.)
23. Gogolashvili N.G., Litvinenko M.V., Pochikaeva T.N., Vavitova E.S., Polikarpova L.S., Novgorodtseva N.Ya. The possibility of the drug omega-3 polyunsaturated fatty acids in the treatment of patients with ventricular arrhythmias and myocardial infarction in anamnesis. Cardiology, 2011, Vol. 51, No. 8. P. 28–31. (In Russ.)
24. Paparella N., Alboni P. Classification and prevalence of supraventricular tachyarrhythmia // Cardiologia. 1991. Vol. 36, No. 8. P. 7–10.
25. Fleg J.L., Kennedy H.L. Cardiac arrhythmias in a healthy elderly population: detection by 24-hour ambulatory electrocardiography // Chest. 1982. Vol. 81, No. 3. P. 302–307.
26. Conen D., Adam M., Roche F., Barthelemy J.C., Felber Dietrich D., Imboden M., Kunzli N., von Eckardstein A., Regenass S., Hornemann T., Rochat T., Gaspoz J.M., Probst-Hensch N., Carballo D. Premature atrial contractions in the general population: frequency and risk factors // Circulation. 2012. Vol. 126, No. 19. P. 2302–2308.
27. Manolio T.A., Furberg C.D, Rautaharju P.M., Siscovick D., Newman A.B., Borhani, J.M. Gardin N.O., Tabatznik B. Cardiac arrhythmias on 24-hour ambulatory electrocardiography in older women and men: the Cardiovascular Health Study // J. Am. Coll. Cardiol. 1994. Vol. 23, No. 4. P. 916–925.
28. Engstrom G., Hedblad B., Juul-Moller S., Tyden P., Janzon L. Cardiac arrhythmias and stroke: increased risk in men with high frequency of atrial ectopic beats // Stroke. 2000. Vol. 31, No. 12. P. 2925–2929.
29. Hingorani P., Karnad D.R., Rohekar P., Kerkar V., Lokhandwala Y.Y., Kothari S. Arrhythmias seen in baseline 24-hour Holter ECG recording in healthy normal volunteers during phase I clinical trials // J. Clin. Pharmacol. 2016. Vol. 56, No. 7. P. 885–893.
30. Hingorani P., Natekar M., Deshmukh S., Karnad D.R., Kothari, D. Narula S., Lokhandwala Y. Morphological abnormalities in baseline ECGs in healthy normal volunteers participating in phase I studies // Indian J. Med. Res. 2012. Vol. 135. P. 322–330.
31. Kamel H., Elkind M.S., Bhave P.D., Navi B.B., Okin P.M., Iadecola C., Devereux R.B., Fink M.E. Paroxysmal supraventricular tachycardia and the risk of ischemic stroke // Stroke. 2013. Vol. 44, No. 6. P. 1550–1554.
32. Orejarena L.A., Vidaillet H., DeStefano F., Nordstrom D.L., Vierkant R.A., Smith P.N., Hayes J.J. Paroxysmal supraventricular tachycardia in the general population // J. Am. Coll. Cardiol. 1998. Vol. 31, No. 1. P. 150–157.
33. Chow G.V., Marine J.E., Fleg J.L. Epidemiology of arrhythmias and conduction disorders in older adults // Clin. Geriatr. Med. 2012. Vol. 28, No. 4. P. 539–553.
34. Johnson L.S., Juhlin T., Juul-Moller S., Hedblad B., Nilsson P.M., Engstrom G. A prospective study of supraventricular activity and incidence of atrial fibrillation // Heart Rhythm. 2015. Vol. 12, No. 9. P. 1898–1904.
35. Acharya T., Tringali S., Bhullar M., Nalbandyan M., Ilineni V.K., Carbajal E., Deedwania P. Frequent atrial premature complexes and their association with risk of atrial fibrillation // Am. J. Cardiol. 2015. Vol. 116, No. 12. P. 1852–1857.
36. Zoni-Berisso M., Lercari F., Carazza T., Domenicucci S. Epidemiology of atrial fibrillation: European perspective // Clin. Epidemiol. 2014. Vol. 6. P. 213–220.
37. Go A.S., Hylek E.M., Phillips K.A., Chang Y., Henault L.E., Selby J.V., Singer D.E. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study // JAMA. 2001. Vol. 285, No. 18. P. 2370–2377.
38. Kannel W.B., Abbott R.D., Savage D.D., McNamara P.M. Epidemiologic features of chronic atrial fibrillation: the Framingham study // N. Engl. J. Med. 1982. Vol. 306. P. 1018–1022.
39. Murphy N.F., Simpson C.R., Jhund P.S., Stewart S., Kirkpatrick M., Chalmers J., MacIntyre K., McMurray J.J. A national survey of the prevalence, incidence, primary care burden and treatment of atrial fibrillation in Scotland // Heart. 2007. Vol. 93, No. 5. P. 606–612.
40. Tatarsky B.A., Serdechnaya E.V., Kazakevich E.V. Frequency and prevalence of atrial fibrillation. Doctor, 2008, No. 7, рр. 78–90 (In Russ.)
41. Svennberg E., Engdahl J., Al-Khalili F., Friberg L., Frykman V., Rosenqvist M. Mass Screening for Untreated Atrial Fibrillation: The STROKESTOP Study // Circulation. 2015. Vol. 131, No. 25. P. 2176–2184.
42. Friberg L., Hammar N., Pettersson H., Rosenqvist M. Increased mortality in paroxysmal atrial fibrillation: report from the Stockholm Cohort-Study of Atrial Fibrillation (SCAF) // Eur. Heart J. 2007. Vol. 28, No. 19. P. 2346–2353.
43. Chiang B.N., Perlman L.V., Fulton M. Predisposing factors in sudden cardiac death in Techumsem (Michigan): A prospective study // Circulation. 1970. Vol. 41. P. 31–34.
44. Gogolashvili N.G., Litvinenko M.V., Pochechueva T.N., Vavilova E.S., Polikarpov L.S., Novgorodtsev N.Yа. The frequency of ventricular arrhythmias and their treatment of omega-3 polyunsaturated fatty acids in patients during the year after myocardial infarction. Cardiovascular therapy and prevention, 2011, No. 5, рр. 57–62 (In Russ.)
45. Parmon E.V., Treshkur T.V., Shlyakhto E.V. Idiopathic ventricular arrhythmias (problem analysis). Bulletin of Arrhythmology, 2003, No. 31, рр. 60–71 (In Russ.)
46. Gupta R., Sharma S. Prevalence of asymptomatic electrocardiographic abnormalities in a rural population // Assoc. Physicians. India. 1996. Vol. 44, No. 11. P. 775–777.
47. Hirose H., Ishikawa S., Goton T., Kabutoya T., Kayaba K., Kajii E… Cardiac mortality of premature ventricular complexes in healthy people in Japan // J. Cardiol. 2010. Vol. 56, No. 1. P. 23–26.
48. Mamchur S. E., Ardashev A.V. Sudden cardiac death and wolf-Parkinson-white syndrome. Bulletin of Arrhythmology, 2014, No. 76, рр. 30–36 (In Russ.)
49. Ahn M.S. Current сoncepts of premature ventricular contractions // J. Lifestyle Med. 2013. Vol. 3, No. 1. P.26–33.
50. Kostis J.B., McCrone K., Moreyra A.E., Gotzoyannis S., Aglitz N.M., Natarajan N., Kuo P.T. Premature ventricular complexes in the absence of identifiable heart disease // Circulation. 1981. Vol. 63, No. 6. P. 1351–1356.
51. Hwang J.K., Park S.J., On Y.K., Kim J.S., Park K.M., Clinical characteristics and features of frequent idiopathic ventricular premature complexes in the Korean population // Korean Circ. J. 2015. Vol. 45, No. 5. P. 391–397.
52. Kushakovsky M.S., Grishkin Yu.N. Arrhythmia of the heart. Saint Petersburg: Izdatel’stvo Foliant, 2014. 720 р. (In Russ.)
53. De Bacquer D., De Bacquer G., Kornitzer M. Prevalence of ECG findings in large population based samples of men and women // Heart. 2000. Vol. 84, No. 6. P. 625–633.
54. Fleg, J.L., Das D.N., Lakatta E.G. Right bundle branch block: long-term prognosis in apparently healthy men // J. Am. Coll. Cardiol. 1983. Vol. 1, No. 3. P. 887–892.
55. Thrainsdottir I.S., Hardarson T., Thorgeirsson G., Sigfusson N. The epidemiology of right bundle branch block and its association with cardiovascular morbidity. The Reykjavik Study // Eur. Heart J. 1993. Vol. 14, No. 12. P. 1590–1596.
56. Prineas R.J., Le A., Soliman E.Z., Zhang Z.M., Howard V.J., Ostchega Y., Howard G.; United States national prevalence of electrocardiographic abnormalities in black and white middle-age (45-to 64-year) and older (≥65-year) adults (from the Reasons for Geographic and Racial Differences in Stroke Study). Reasons for Geographic and Racial Differences in Stroke (REGARDS) Investigators // Am. J. Cardiol. 2012. Vol. 109. P. 1223–1228.
57. Eriksson P., Wilhelmsen L., Rosengren A. Bundle-branch block in middle-aged men: risk of complications and death over 28 years. The Primary Prevention Study in Goteborg, Sweden // Eur. Heart J. 2005. Vol. 26, No. 21. P. 2300–2306.
58. Kiatchoosakun S., Pachirat O., Chirawatkul A., Choprapawan C., Tatsanavivat P. Prevalence of cardiac arrhythmias in Thai community // J. Med. Assoc. Thai. 1999. Vol. 82, No. 7. P. 727–733.
59. Malhotra V.K., Singh N.V.K., Bishnoi R.S., Chadha D.S., Bhardwaj P., Madan H., Dutta R., Ghosh A.K., Sengupta S., Perumal P. The prevalence of abnormal ECG in trained sportsmen // Med. J. Armed Forces India. 2015. Vol. 71, No. 4. Р. 324–329.
60. Kondratieva I.V., Vozhdaeva Z.I., Duplyakov D. V. Blockade of the left bundle branch block: from anatomy to predictive value // Cardiology. 2014. Vol. 54, No. 2. P. 63–69 (In Russ.)
61. Golden G.S., Golden L.H. The «Nona» electrocardiogram: findings in 100 patients of the 90 plus age group // J. Am. Geriatr. Soc. 1974. Vol. 22, No. 7. P. 329–331.
62. Simonson E. The effect of age on the electrocardiogram // Am. J. Cardiol. 1972. Vol. 29, No. 1. P. 64–73.
63. Kojic E.M., Hardarson T., Sigfusson N., Sigvaldason H. The prevalence and prognosis of third-degree atrioventricular conduction block: the Reykjavik study // J. Intern Med. 1999. Vol. 246, No. 1. P. 81–86.
64. Parsonnet V., Bernstein A.D., Galasso D. Cardiac pacing practices in the United States in 1985 // Am. J. Cardiol. 1988. Vol. 62, No. 1. P. 71–77.
Review
For citations:
Zakrevskij Yu.N., Shevchenko A.G., Bondar S.A., Balahnov D.O., Butikov V.Р., Kabisovа V.I., Nesterov A.A. ARITMOLOGIC VIOLATIONS IN POPULATIONS OF PEOPLE LIVING IN NORMAL AND EXTREME CLIMATIC CONDITIONS, WITH NO SIGNS OF SOMATIC PATHOLOGY, AGGRAVATING THE RISK OF CARDIOVASCULAR DISEASE. Marine Medicine. 2019;5(3):7-16. (In Russ.) https://doi.org/10.22328/2413-5747-2019-5-3-7-16