Features of acute coronary syndrome in migrant workers

N. V. Shchepetin, G. A. Chuvarayan, N. Orlova, Y. Fedulaev, S. Arakelov, I. Y. Titova, Yu. Yu. Yakushev
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Abstract

Cardiovascular diseases of migrant workers are an additional burden on the health care system of many countries in Europe, the United States, and Russia. The prevalence of risk factors among migrants is associated with the country of origin of migrants, the duration of migration, low socioeconomic conditions of residence in the host country, psychological stress, significant physical exertion, violations of work and rest, malnutrition, the spread of harmful factors (smoking, alcohol, narcotic substances), limited access to medical services. The results of the study are presented, indicating that smoking is more common among migrant workers, hypertension levels, total cholesterol, triglycerides, high-density lipoproteins, and low-density lipoproteins are higher in comparison with the indigenous inhabitants of Russia. When performing coronary angiography in patients with acute coronary syndrome in migrant workers, despite their younger age, several vascular lesions are significantly more often detected. The data of the conducted study demonstrate high risks of cardiovascular diseases among migrant workers, which requires organizational measures to prevent them.
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外来务工人员急性冠脉综合征的特征
移徙工人的心血管疾病是欧洲、美国和俄罗斯许多国家医疗保健系统的额外负担。风险因素在移民中的流行与移民的原籍国、移民时间长短、在东道国居住的社会经济条件低下、心理压力、大量体力劳动、违反作息时间、营养不良、有害因素(吸烟、酗酒、麻醉品)的传播、获得医疗服务的机会有限等因素有关。研究结果表明,与俄罗斯本地居民相比,外来务工人员中吸烟者更多,高血压水平、总胆固醇、甘油三酯、高密度脂蛋白和低密度脂蛋白更高。在对外来务工人员急性冠状动脉综合征患者进行冠状动脉造影检查时,尽管他们的年龄较小,但却更容易发现一些血管病变。研究数据表明,外来务工人员罹患心血管疾病的风险很高,需要采取组织措施加以预防。
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