Assessment of risk fors for the development of ischemic heart disease in workers of vibration-hazardous occupations

Introduction. Ischemic heart disease is common in workers exposed to vibration. In this regard, it is important to expand the search for cardiovascular risk factors among workers with vibration-hazardous occupations for timely implementation of preventive measures aimed at reducing incidence, disability, and mortality from cardiovascular pathology.The aim of the study was to evaluate industrial and non-industrial risk factors for the development of ischemic heart disease in workers of vibration-hazardous occupations in the coal industry.Materials and methods. The study involved one hundred ninety four workers of the main occupations in the coal industry with vibration disease and 118 people without clinical signs of the disease. Clinical, instrumental, and laboratory investigations were conducted to identify ischemic heart disease and risk factors for its development.Results. Workers with vibration disease have been shown to have higher incidence of ischemic heart disease than the comparison group. The most significant non-occupational risk factors for ischemic heart disease in patients with vibration disease were revealed: arterial hypertension, abdominal obesity, burdened heredity, hypersthenic constitutional-morphological type according to Rees-Eysenck, increased levels of C-reactive protein, soluble fibrin-monomer complexes, hyperuricemia. The occupational risk factors for the development of ischemic heart disease in workers with vibration disease were determined: work experience in harmful labor conditions of 25 years or more, the development of the second degree of vibration disease.Limitations. The conducted study is limited to the number of workers exposed to vibration who were examined at the Federal State Budgetary Scientific Institution “Research Institute for Complex Problems of Hygiene and Occupational Diseases”.Conclusion. The most significant risk factors for the development of ischemic heart disease in workers of the main occupations in the coal industry who are exposed to vibration have been identified. During the prophylactic medical examination of patients with vibration disease, it is necessary to arrangement risk groups for the development of ischemic heart disease and elaborate measures for them aimed at correcting modifiable cardiovascular risk factors.Compliance with ethical standards. The examination of patients complied with the ethical standards of the Bioethics Committee of the Federal State Budgetary Scientific Institution “Research Institute for Complex Problems of Hygiene and Occupational Diseases” (Protocol of the Meeting No. 3, §3 dated November 17, 2022), elaborated in accordance with the Helsinki Declaration of the World Medical Association (2013 edition). All subjects gave written informed consent to participate in the study.Contribution: Panev N.I. – the concept and design of the study, collection and statistical processing of material, writing a text; Korotenko O.Yu. – editing; Filimonov E.S., Martynov I.D. – collection of material, writing a text; Rumpel O.A. – processing of material. All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.Conflict of interest. The authors declare no conflict of interest.Funding. The study had no sponsorship.Received: April 21, 2025 / Revised: June 21, 2025 / Accepted: June 26, 2025 / Published: August 20, 2025

coal industry, workers of vibration-hazardous occupations, vibration disease, ischemic heart disease, cardiovascular risk factors