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Electrocardiographic Responses Following Live-Fire Firefighting Drills

  • Denise L. Smith
  • , Gavin P. Horn
  • , Bo Fernhall
  • , Richard M. Kesler
  • , Kenneth W. Fent
  • , Stephen Kerber
  • , Thomas W. Rowland
  • Skidmore College
  • Illinois Fire Service Institute
  • University of Illinois at Urbana-Champaign
  • University of Illinois at Chicago
  • National Institute for Occupational Safety and Health
  • Underwriters Laboratories Inc.

Research output: Contribution to journal › Article › peer-review

Abstract

Objective:Firefighting-related environmental and physiological factors associated with cardiovascular strain may promote arrhythmias and myocardial ischemia, which induce sudden cardiac events (SCE) in susceptible individuals. The present study evaluated electrocardiographic (ECG) changes that may reflect increased SCE risk following simulated live-firefighting.Methods:Using a repeated measures design, ECG tracings from 32 firefighters were recorded 12-hours post-firefighting in a residential structure and compared with a 12-hour control period.Results:Ventricular arrhythmias were present in 20%, and ST segment changes indicative of myocardial ischemia in 16%, of firefighters 12-hours post-firefighting that were not detected in the control period.Conclusion:Live-firefighting induces significant ECG changes that include ventricular arrhythmias and ST segment changes, which may reflect myocardial ischemia. The implications of such ECG changes explaining increased cardiovascular risk in firefighters warrants further research.

Original languageEnglish
Pages (from-to)1030-1035
Number of pages6
JournalJournal of Occupational and Environmental Medicine
Volume61
Issue number12
DOIs
StatePublished - Dec 1 2019

ASJC Scopus Subject Areas

  • Public Health, Environmental and Occupational Health

Keywords

  • arrhythmias
  • cardiac events
  • fire fighter
  • Ischemia

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