3 0 0 0 OA Editorial Comment 覚醒剤の心障害
- 著者
- 河合 祥雄
- 出版者
- 公益財団法人 日本心臓財団
- 雑誌
- 心臓 (ISSN:05864488)
- 巻号頁・発行日
- vol.36, no.4, pp.297-300, 2004-04-15 (Released:2013-05-24)
- 参考文献数
- 25
1 0 0 0 OA 心筋炎不完全治癒例 : 興味ある心筋疾患の症例 : 第24回循環器教育セッション
- 著者
- 河合 祥雄
- 出版者
- 一般社団法人 日本循環器学会
- 雑誌
- 循環器専門医 (ISSN:09189599)
- 巻号頁・発行日
- vol.4, no.2, pp.331-336, 1996-10-11 (Released:2018-05-28)
- 参考文献数
- 2
1 0 0 0 OA スポーツにおける突然死
- 著者
- 河合 祥雄
- 出版者
- 順天堂医学会
- 雑誌
- 順天堂医学 (ISSN:00226769)
- 巻号頁・発行日
- vol.49, no.3, pp.327-335, 2003-09-30 (Released:2014-11-12)
- 参考文献数
- 34
急死とは発症から24時間以内の予期しない死亡のことをいう. スポーツでの相対危険率は40-59歳群では剣道が最も高く, スキー・登山・野球と続き, ゴルフ・水泳はランニングより低い. 60歳以上ではゴルフ・登山の順に高く, 他の種目は40-59歳のランニングとほぼ同じ危険率である. 30歳未満の若年者における運動中の急死の原因となる疾患の多くは肥大型心筋症である. この疾患は最も多い遺伝性心疾患であり, 検診時の心電図検査が重要である. また成人における急死の主因は虚血性心臓病であり, 若年者では冠状動脈奇形・川崎病とその後遺病変が心筋虚血を生じさせる. 心臓性急死は全年齢層に渡る一大医療問題で, 急死患者の半数は, 現在でも病院到着前に死亡している. しかし急死には意外に長い前駆症状がある. つまり漫然と救急車の到着を待つのではなく, この間の時間をフルに活用して蘇生処置をとることが重要である. ハイマン選手の不幸な事件を教訓として, すべての運動選手・スポーツ関係者は「救急蘇生はスポーツマンの責務である」ことを体現しなければならない.
1 0 0 0 OA 本邦の石油ショック期における職業に由来する精神的ストレスと急性心筋梗塞発症の関連について
- 著者
- 張 念中 河合 祥雄 岡田 了三
- 出版者
- 一般社団法人 日本動脈硬化学会
- 雑誌
- 動脈硬化 (ISSN:03862682)
- 巻号頁・発行日
- vol.15, no.5, pp.1185-1191, 1987-10-01 (Released:2011-09-21)
- 参考文献数
- 25
Mental stress from one's occupational circumstances is considered an important risk factor in the occurrence of myocardial infarction. However, because of difficulty in quantitative evaluation of such stress, this issue has not been fully studied. In the present work, we investigated the relationship between deaths from acute myocardial infarction (AMI) and occupation using data from the series of the Annual of the Pathological Autopsy Cases in Japan, in which autopsy cases throughout Japan are described. With regard to the 56, 268 persons who died at the age of 15 or older in 1973, 1974 and 1975, i. e., the year of economic depression due to the first oil shock and the years before and after the oil shock, we compared (I) the mortalities from AMI and frequencies of such deaths among all autopsy cases in Japan in relation to the occupational group in the three years and (II) the mortalities from AMI according to the occupation among 3, 241 randomly selected deaths in the three years. The mortality from AMI for 1973, 1974 and 1975 was 2.6%, 3.7% and 3.0%, respectively, showing a significantly higher value for 1974 (p<0.001). Among persons who died from AMI, the proportion of mental workers, particularly executives and managers, and unemployed/retired individuals was significantly higher (p<0.05) in 1974. As for randomly selected autopsy cases, the mortalities from AMI among mental workers in 1973, 1974 and 1975 were 7.8%, 17.0% and 6.2%, respectively, and the corresponding rates among physical workers were 2.0 %, 1.8% and 2.6%. Thus, the mortality among mental workers was significantly increased in 1974 (p<0.05), whereas there were no such variations among physical workers. In addition to the corroboration with the previous experience that deaths from AMI are more frequent among mental workers, particularly executives and managers, than among physical workers, we noted an increase in moratlity from AMI in the period of economic depression. It seems that stress derived from occupational circumstances rather than limited physical activities is involved in the occurrence of AMI.
- 著者
- 張 念中 河合 祥雄 岡田 了三
- 出版者
- Japan Atherosclerosis Society
- 雑誌
- 動脈硬化 (ISSN:03862682)
- 巻号頁・発行日
- vol.15, no.5, pp.1185-1191, 1987
Mental stress from one's occupational circumstances is considered an important risk factor in the occurrence of myocardial infarction. However, because of difficulty in quantitative evaluation of such stress, this issue has not been fully studied. In the present work, we investigated the relationship between deaths from acute myocardial infarction (AMI) and occupation using data from the series of the Annual of the Pathological Autopsy Cases in Japan, in which autopsy cases throughout Japan are described. With regard to the 56, 268 persons who died at the age of 15 or older in 1973, 1974 and 1975, i. e., the year of economic depression due to the first oil shock and the years before and after the oil shock, we compared (I) the mortalities from AMI and frequencies of such deaths among all autopsy cases in Japan in relation to the occupational group in the three years and (II) the mortalities from AMI according to the occupation among 3, 241 randomly selected deaths in the three years. The mortality from AMI for 1973, 1974 and 1975 was 2.6%, 3.7% and 3.0%, respectively, showing a significantly higher value for 1974 (p<0.001). Among persons who died from AMI, the proportion of mental workers, particularly executives and managers, and unemployed/retired individuals was significantly higher (p<0.05) in 1974. As for randomly selected autopsy cases, the mortalities from AMI among mental workers in 1973, 1974 and 1975 were 7.8%, 17.0% and 6.2%, respectively, and the corresponding rates among physical workers were 2.0 %, 1.8% and 2.6%. Thus, the mortality among mental workers was significantly increased in 1974 (p<0.05), whereas there were no such variations among physical workers. In addition to the corroboration with the previous experience that deaths from AMI are more frequent among mental workers, particularly executives and managers, than among physical workers, we noted an increase in moratlity from AMI in the period of economic depression. It seems that stress derived from occupational circumstances rather than limited physical activities is involved in the occurrence of AMI.
