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R Tomaszewski

Publications and source records attributed to R Tomaszewski.

16 recordsLinked to original sources
PubMed1990

Studies on the risk of ischaemic heart disease in fishermen, seafarers and dockers.

To assess the risk of ischaemic heart disease, the following examinations were conducted in 350 seafarers, 480 deep-sea fishermen and 500 dockers: physical examination, chest X-ray, standard 12-lead electrocardiogram, exercise stress test, echocardiography, laboratory tests. A complete medical history aimed at detection the coronary risk factors was collected from each man. The mean age of persons examined was as follows: 47.6 years - fishermen, 44.8 - seamen, and 42.9 - dockers. It was estimated that the main risk factors found both in fishermen and seamen were cigarette smoking, hypercholesterolemia and overweight. The incidence rates of high serum cholesterol level and overweight in the above occupational groups were higher as compared with the prevalence of these factors in the general male population in Poland. The study data argue for the need for adequate dietary change, habit modification and promotion of recreational physical activities among seafarers.

Adult↗
PubMed1990

The use of submaximal exercise stress testing in early detection of ischaemic heart disease in seamen.

50 seamen aged 19-66 years (mean age 41.5 +/- 10.9), with nonspecific pains in the chest but no changes in the resting ECG, were subjected to the submaximal exercise test. The examinations were carried out at the Clinic of the Institute of Maritime and Tropical Medicine in Gdynia. The positive exercise test was recorded in 42% of persons examined. Observed was an increasing prevalence of the positive test with the growing age and period of employment at sea, especially in the group with the risk factors of the heart ischaemic disease present. Introduction of this test in seafarers, aged over 40 years might be considered; it would help to early diagnose this disease. In the presence of several risk factors of the heart ischeamic disease, the exercise test could be recommended for seafarers as early as at the age 30-40.

Adult↗
PubMedDate not supplied

[Arrhythmias in healthy sailors].

Results are presented of 24-hour monitoring by Holter's method of ECG in 50 healthy seamen aged 29-55 years (mean 47.7 years), in whom clinical examination, chest radiography, resting ECG records, and echocardiography confirmed normal condition of the cardiovascular system. In 36% of the seamen premature beats of various origin were elicited. Supraventricular extrasystolic beats were demonstrated in 8%, atrioventricular-junction beats in 8%, and ventricular ectopic beats in 18%. In one case simultaneous occurrence of junction beats and ventricular beats was found. In 28% of the subjects sinus bradycardia was noted, and in 1 seaman two episodes of sinus tachycardia were recorded. The intensity of the observed arrhythmias was low.

Adult↗
PubMedDate not supplied

Familial dilated (congestive) cardiomyopathy.

Dilated (congestive) cardiomyopathy (DCM) in two brothers is reported. The clinical course in both cases was dominated by severe congestive heart failure (CHF) with heart rhythm disturbances in one sibling. The onset of the disease was preceded by influenza-like episodes in one case. HLA typing carried out in this patient demonstrated the presence of the A11 antigen which is shown to be more frequently encountered in this cardiomyopathy.

Adult↗