Duty-related risk of sudden cardiac death among young US firefighters

Occupational Medicine

Volumn 64, Issue 6, 2014, Pages 428-435

  Farioli, A ^a,b,c   Yang, J ^a,b   Teehan, D ^a,b   Baur, D M ^a,d   Smith, D L ^e   Kales, S N ^a,b  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^b CAMBRIDGE HEALTH ALLIANCE   (United States)

^c UNIVERSITY OF BOLOGNA   (Italy)

^d Interdisciplinary Center for Hormone and Metabolic Disorders Endokrinologikum ULM   (Germany)

^e SKIDMORE COLLEGE   (United States)

Author keywords

Firefighters; Longitudinal study; Occupational disease; Occupational exposure; Sudden cardiac death

Indexed keywords

ADULT; CARDIOVASCULAR DISEASE; COMPARATIVE STUDY; COMPLICATION; DEATH, SUDDEN, CARDIAC; EMERGENCY; EPIDEMIOLOGY; FEMALE; FIRE FIGHTER; HUMAN; MALE; MORTALITY; OCCUPATIONAL DISEASES; OCCUPATIONAL HEALTH; OCCUPATIONAL HEALTH SERVICE; RESCUE WORK; RISK FACTOR; STATISTICS AND NUMERICAL DATA; UNITED STATES; WORK SCHEDULE;

ADULT; CARDIOVASCULAR DISEASES; DEATH, SUDDEN, CARDIAC; EMERGENCIES; FEMALE; FIREFIGHTERS; HUMANS; MALE; NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH (U.S.); OCCUPATIONAL DISEASES; OCCUPATIONAL HEALTH; RESCUE WORK; RISK FACTORS; UNITED STATES; WORK SCHEDULE TOLERANCE;

EID: 84906857879     PISSN: 09627480     EISSN: 14718405     Source Type: Journal    
DOI: 10.1093/occmed/kqu102     Document Type: Article

References (30)

1. Karter MJ Jr, Stein GP. U.S. Fire Department Profile 2012. Quincy, MA: National Fire Protection Association, 2013.
2. Fahy RF, LeBlanc P, Molis JL. Firefighter Fatalities in the United States-2011. Quincy, MA: National Fire Protection Association, 2012.
3. Kales SN, Soteriades ES, Christoudias SG, Christiani DC. Firefighters and on-duty deaths from coronary heart disease: a case control study. Environ Health 2003;2:14.
4. Kales SN, Soteriades ES, Christophi CA, Christiani DC. Emergency duties and deaths from heart disease among firefighters in the United States. N Engl J Med 2007;356:1207-1215.
5. Smith DL, Barr DA, Kales SN. Extreme sacrifice: sudden cardiac death in the US Fire Service. Extrem Physiol Med 2013;2:6.
6. Geibe JR, Holder J, Peeples L, Kinney AM, Burress JW, Kales SN. Predictors of on-duty coronary events in male firefighters in the United States. Am J Cardiol 2008;101:585-589.
7. Chandra N, Bastiaenen R, Papadakis M, Sharma S. Sudden cardiac death in young athletes: practical challenges and diagnostic dilemmas. J Am Coll Cardiol 2013;61:1027-1040.
8. Yang J, Teehan D, Farioli A, Baur DM, Smith D, Kales SN. Sudden cardiac death among firefighters =45 years of age in the United States. Am J Cardiol 2013;112:1962-1967.
9. USFA. Firefighter Fatalities. Emmitsburg, MD: US Fire Administration, 2013. http://apps.usfa.fema.gov/firefighter-fatalities/ (15 July 2013, date last accessed).
10. NIOSH. Fire Fighter Fatality Investigation Reports. Atlanta, GA: National Institute for Occupational Safety and Health, http://www.cdc.gov/niosh/fire/ (15 September 2012, date last accessed).
11. USFA. Firefighter Autopsy Protocol. Emmitsburg: US Fire Administration, 2013. http://www.usfa.fema.gov/fireservice/firefighter_health_safety/firefighter-fatalities/autopsy_ protocol/index.shtm (2 April 2014, date last accessed).
12. Holder JD, Stallings LA, Peeples L, Burress JW, Kales SN. Firefighter heart presumption retirements in Massachusetts 1997-2004. J Occup Environ Med 2006;48:1047-1053.
13. NIOSH. Fire Fighter Fatality Investigation and Prevention Program Prioritization Guideline-2009. Atlanta, GA: National Institute for Occupational Safety and Health, 2009. http://www.cdc.gov/niosh/fire/pdfs/FFFIP_DecisionChart.pdf (26 September 2013, date last accessed).
14. US Department of Health and Human Services. Protection of Human Subjects. Washington, DC: US Department of Health and Human Services. http://www.hhs.gov/ohrp/humansubjects (15 September 2012, date last accessed).
15. Soteriades ES, Smith DL, Tsismenakis AJ, Baur DM, Kales SN. Cardiovascular disease in US firefighters: a systematic review. Cardiol Rev 2011;19:202-215.
16. von Klot S, Mittleman MA, Dockery DW et al. Intensity of physical exertion and triggering of myocardial infarction: a case-crossover study. Eur Heart J 2008;29:1881-1888.
17. Horn GP, Blevins S, Fernhall B, Smith DL. Core temperature and heart rate response to repeated bouts of firefighting activities. Ergonomics 2013;56:1465-1473.
18. Smith DL, Horn GP, Petruzzello SJ, Fahey G, Woods J, Fernhall B. Clotting and fibrinolytic changes after firefighting activities. Med Sci Sports Exerc 2014;46:448-454.
19. Steptoe A, Brydon L. Emotional triggering of cardiac events. Neurosci Biobehav Rev 2009;33:63-70.
20. Barnard RJ, Duncan HW. Heart rate and ECG responses of fire fighters. J Occup Med 1975;17:247-250.
21. Kuorinka I, Korhonen O. Firefighters' reaction to alarm, an ECG and heart rate study. J Occup Med 1981;23:762-766.
22. Vyas MV, Garg AX, Iansavichus AV et al. Shift work and vascular events: systematic review and meta-analysis. Br Med J 2012;345:e4800.
23. Fahs CA, Smith DL, Horn GP et al. Impact of excess body weight on arterial structure, function, and blood pressure in firefighters. Am J Cardiol 2009;104:1441-1445.
24. Durand G, Tsismenakis AJ, Jahnke SA, Baur DM, Christophi CA, Kales SN. Firefighters' physical activity: relation to fitness and cardiovascular disease risk. Med Sci Sports Exerc 2011;43:1752-1759.
25. Roberts MA, O'Dea J, Boyce A, Mannix ET. Fitness levels of firefighter recruits before and after a supervised exercise training program. J Strength Cond Res 2002;16:271-277.
26. Smith DL, Fehling PC, Frisch A, Haller JM, Winke M, Dailey MW. The prevalence of cardiovascular disease risk factors and obesity in firefighters. J Obes 2012;2012:908267.
27. Yang J, Farioli A, Korre M, Kales SN. Modified Mediterranean diet score and cardiovascular risk in a North American working population. PLoS One 2014;9:e87539.
28. Estruch R, Ros E, Salas-Salvadó J et al. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med 2013;368:1279-1290.
29. Baur DM, Leiba A, Christophi CA, Kales SN. Low fitness is associated with exercise abnormalities among asymptomatic firefighters. Occup Med (Lond) 2012;62:566-569.
30. Kales SN, Smith DL. Sudden cardiac death in the fire service. Occup Med (Lond) 2014;64:228-230.