A look at cardiovascular pathology from the perspective of the risk of sudden death of railway workers (literature review)

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Abstract

Cardiovascular diseases (CVD) are the leading cause of death in the world, with 17.9 million deaths worldwide each year. Mortality in the Russian Federation (RF) from CVD in 2023 amounted to 556.7 cases per 100 thousand people. Every year, statistics show a deterioration in the health status of workers, where about 85% of sudden deaths occur due to CVD. Despite a thorough examination of employees during the passage of a medical expert commission, pre- and post-flight examinations, preventive measures and treatment of cardiovascular diseases, cases of sudden death of employees of locomotive crews persist. Based on the analysis of the literature, the main predictors of the formation of CVD and the risk of sudden cardiac death (SCD) have been identified.

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About the authors

Nataly N. Malyutina

Perm State Medical University named after Academician E.A. Wagner" Ministry of Health of Russia

Email: dr.shilkova@gmail.com
ORCID iD: 0000-0002-3475-2505

Doctor of Medical Sciences, professor, Head of the Department of Faculty Therapy № 2, Occupational Diseases and Clinical Laboratory Diagnosis

Russian Federation, Perm

Olga Yu. Shilkova

Perm State Medical University named after Academician E.A. Wagner" Ministry of Health of Russia; CHUZ "KB "Russian Railways-Medicine"

Author for correspondence.
Email: dr.shilkova@gmail.com
ORCID iD: 0009-0004-5422-4277

Postgraduate student, Department of Faculty Therapy № 2, Occupational Diseases and Clinical Laboratory Diagnosis, Cardiologist at the in-patient cardiology department

Russian Federation, Perm; Perm

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