Please use this identifier to cite or link to this item: https://ktisis.cut.ac.cy/handle/10488/13635
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dc.contributor.authorSmith, Denise Louise-
dc.contributor.authorHaller, Jeannie M.-
dc.contributor.authorKorre, Maria-
dc.contributor.authorSampani, Konstantina-
dc.contributor.authorPorto, Luiz Guilherme Grossi-
dc.contributor.authorFehling, Patricia C.-
dc.contributor.authorChristophi, Costas A.-
dc.contributor.authorKales, Stefanos N.-
dc.date.accessioned2019-05-15T20:34:34Z-
dc.date.available2019-05-15T20:34:34Z-
dc.date.issued2019-03-01-
dc.identifier.citationThe American Journal of Cardiology, 2019, vol. 123, no. 5, pp. 736-741en_US
dc.identifier.issn0002-9149-
dc.description.abstractSudden cardiac death accounted for 42% of all firefighter duty-related fatalities over the last decade. This retrospective study analyzed available medical examiner records for duty-related firefighter fatalities among male firefighters 18 to 65 years of age that occurred between 1999 and 2014 and reported the pathoanatomic substrate for cardiac-related fatalities. Odds of duty-related cardiac death during specific duties compared with fire station duties were calculated by pathoanatomic substrate. There were 285 cardiac fatalities. Of fatalities, 80% had evidence at autopsy of coronary heart disease (CHD) and increased heart size (cardiomegaly and/or left ventricular hypertrophy). CHD alone, cardiomegaly or left ventricular hypertrophy, and causes other than CHD or increased heart size were identified in 7.7%, 6.0%, and 6.7% of fatalities, respectively. The largest proportion of deaths occurred during fire suppression (33%), although only 1% of annual occupational time was estimated to be spent performing this duty. For deaths attributed to CHD and increased heart size, fire suppression, alarm response, and physical training were associated with approximately a 112-fold, eightfold, and sevenfold increased risk of cardiac death, respectively, compared with station duties. In conclusion, the majority of firefighters who suffered a duty-related cardiac death had CHD and increased heart size, which was associated with a markedly increased risk of death during fire suppression compared with station duties. Targeted occupational medical screening for CHD and increased heart size may reduce duty-related cardiac deaths among firefighters.en_US
dc.formatpdfen_US
dc.language.isoenen_US
dc.relation.ispartofThe American Journal of Cardiologyen_US
dc.rights© Elsevieren_US
dc.subjectCardiomegalyen_US
dc.subjectFire fighteren_US
dc.subjectHeart deathen_US
dc.subjectIschemic heart diseaseen_US
dc.subjectHeart left ventricle hypertrophyen_US
dc.titleThe Relation of Emergency Duties to Cardiac Death Among US Firefightersen_US
dc.typeArticleen_US
dc.collaborationSkidmore Collegeen_US
dc.collaborationHarvard T.H. Chan School of Public Healthen_US
dc.collaborationHarvard Medical Schoolen_US
dc.collaborationJoslin Diabetes Centeren_US
dc.collaborationUniversity of Brasiliaen_US
dc.collaborationCyprus University of Technologyen_US
dc.subject.categoryClinical Medicineen_US
dc.journalsSubscriptionen_US
dc.countryUnited Statesen_US
dc.countryBrazilen_US
dc.countryCyprusen_US
dc.subject.fieldMedical and Health Sciencesen_US
dc.publicationPeer Revieweden_US
dc.identifier.doi10.1016/j.amjcard.2018.11.049en_US
dc.relation.issue5en_US
dc.relation.volume123en_US
cut.common.academicyear2018-2019en_US
dc.identifier.spage736en_US
dc.identifier.epage741en_US
item.openairecristypehttp://purl.org/coar/resource_type/c_6501-
item.openairetypearticle-
item.fulltextNo Fulltext-
item.languageiso639-1en-
item.cerifentitytypePublications-
item.grantfulltextnone-
crisitem.journal.journalissn0002-9149-
crisitem.journal.publisherElsevier-
crisitem.author.deptCyprus International Institute for Environmental and Public Health-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.orcid0000-0003-0503-1538-
crisitem.author.parentorgFaculty of Health Sciences-
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