The aim of the study is to investigate whether the mental stress resulting from the assignment of military professionals affects the parameters of metabolic syndrome (MetS) as a significant risk factor for cardio-vascular diseases.The study retrospectively analyses the data obtained during extended annual preventive examinations of professional soldiers in 2012-2016. The dataset was divided into two cohorts. The first "performance" cohort included soldiers from combat units and paratroopers (aiborne). The second cohort consisted of "others", i.e. soldiers from non-combat units or airborne. The psychological burden was determined by the soldiers' assignment to a combat or airborne units.In the years 2012-2016, almost all compared parameters were better in the "performance" group. Exceptions were a higher prevalence of overweight (according to body mass index) and sporadically higher glycaemia and alanine aminotrasferase (ALT) levels. When comparing years 2012 and 2016 of the "performace" group, statistically significant better values prevailed in relation to the MetS in 2016. The exceptions were ALT and uric acid levels.The outcome of this study suggests a better status of MetS risk factors and MetS-related factors in the "performance" cohort, and psychological stress did not augment MetS manifestations in these professionals. This study has confirmed the necessity of waist circumference measurement to eliminate overestimation of obesity in individuals with developed musculature. To confirm the hepatic origin of ALT, the medical history should include an inquiry about exercise habits. Subsequently, the effect of chronic stress may also be considered for higher liver enzymes. Screening for hypercholesterolaemia and hyperuricaemia has important clinical relevance for the prevention of cardiovascular diseases in younger population, particularly in those aged
- MeSH
- lidé MeSH
- metabolický syndrom * MeSH
- ozbrojené síly MeSH
- psychický stres MeSH
- retrospektivní studie MeSH
- Check Tag
- lidé MeSH
Cíl: Naším cílem bylo zhodnotit vliv precipitujících faktorů a známek akutního srdečního selhání na délku hospitalizace podle jednotlivých podskupin ejekční frakce (EF). Metodika: Provedli jsme retrospektivní studii u pacientů s akutním srdečním selháním hospitalizovaných v roce 2017 na kardioangiologické klinice. Nejčastější precipitanty a známky byly zařazeny do multivariantní analýzy za účelem posouzení jejich souvislosti s délkou hospitalizace. Výsledky: Do studie jsme zařadili 376 pacientů s mediánem délky hospitalizace 11 dní. Z těchto pacientů mělo 198 sníženou, 58 mírně sníženou a 120 zachovalou EF. V případě snížené EF byl s delší hospitalizací spojen periferní edém (OR 1,97, CI 1,02-3,78) a plicní kongesce (OR 2,72, CI 1,38-5,34). Naproti tomu mimoplicní infekce (OR 50,57, CI 2,82-906,84) a progrese srdečního selhání (OR 15,33, CI 1,25-188,53) byly spojené s delší hospitalizací v případě mírně snížené EF a akutní plicní onemocnění souviselo s delší hospitalizací u pacientů s mírně sníženou (OR 10,77, CI 1,07-108,81) a zachovalou (OR 3,96, CI 1,05-14,99) EF. Závěr: Precipitující faktory a známky srdečního selhání mají u pacientů se sníženou, mírně sníženou nebo zachovalou EF rozdílný vliv na délku hospitalizace.
Aim: We aimed to assess the impact of precipitating factors and signs of acute heart failure on the length of hospital stay according to the ejection fraction (EF) subgroups. Methods: We conducted a retrospective study among acute heart failure patients hospitalized at the Department of Cardioangiology in 2017. The most frequent precipitants and signs were included in the multivariate analysis to assess their association with the length of hospital stay. Results: We included 376 patients with a median length of hospital stay 11 days. There were 198, 58, and 120 patients with reduced, mildly reduced, and preserved EF, respectively. In reduced EF, peripheral swelling (OR 1.97, CI 1.02-3.78) and pulmonary congestion (OR 2.72, CI 1.38-5.34) were associated with a longer hospital stay. Non‐pulmonary infection (OR 50.57, CI 2.82-906.84) and heart failure progression (OR 15.33, CI 1.25-188.53) were associated with a longer hospital stay in mildly reduced EF, and acute pulmonary disease was associated with a longer hospital stay in patients with mildly reduced (OR 10.77, CI 1.07-108.81) and preserved (OR 3.96, CI 1.05-14.99) EF. Conclusion: Precipitating factors and signs of acute heart failure have different impacts on the length of hospital stay among patients with reduced, mildly reduced or preserved EF.
- MeSH
- akutní nemoc MeSH
- délka pobytu MeSH
- lidé MeSH
- precipitační faktory * MeSH
- retrospektivní studie MeSH
- senioři MeSH
- srdeční selhání * diagnóza epidemiologie MeSH
- tepový objem MeSH
- Check Tag
- lidé MeSH
- senioři MeSH
- Publikační typ
- práce podpořená grantem MeSH
