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2024 | OriginalPaper | Buchkapitel

Cardiovascular Function and Deleterious Adaptations Among Firefighters: Implications for Smart Firefighting

verfasst von : Dillon J. Dzikowicz, Salah S. Al-Zaiti, Mary G. Carey

Erschienen in: Intelligent Building Fire Safety and Smart Firefighting

Verlag: Springer Nature Switzerland

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Firefighting is strenuous work that causes significant strain on the heart and cardiovascular system. As a result, firefighters are disproportionately affected by serious cardiac events when compared to other emergency personnel [1, 2]. Nearly 50% of all duty-related fatalities among firefighters since the 1970s are due to sudden cardiac death (SCD), a fatal tachy-arrhythmia that leads to the cessation of blood flow in the body [3‐5]. Although fire suppression activities comprise approximately 5% of total annual working time in firefighters, SCD most likely occurs during or immediately after these activities [5, 6]. Exacerbating the elevated risk of SCD is the high prevalence of obesity, hypertension, and other chronic conditions among firefighters [8]. Thus, firefighting in combination with underlying chronic conditions strains the heart and precipitates serious cardiac events, including SCD (Fig. 1). …

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S.N. Kales, D.L. Smith, Firefighting and the Heart: Implications for Prevention. Circulation 135(14), 1296–1299 (2017). https://doi.org/10.1161/CIRCULATIONAHA.117.027018. (PMID: 28373524)CrossRef

M. Han, S. Park, J.H. Park, S.S. Hwang, I. Kim, Do police officers and firefighters have a higher risk of disease than other public officers? A 13-year nationwide cohort study in South Korea. BMJ Open 8(1), e019987 (2018). https://doi.org/10.1136/bmjopen-2017-019987.PMID:29391373;PMCID:PMC5878257CrossRef

R. Fahy, US firefights fatalities due to sudden cardiac death 1995–2004, National Fire Protection Association. (National Institute for Occupational Safety and Health (NIOSH), 200)

R. Fahy, US firefights deaths in 2021. National Fire Protection Association. NFPA J., 2022

A. Farioli, J. Yang, D. Teehan, D.M. Baur, D.L. Smith, S.N. Kales, Duty-related risk of sudden cardiac death among young US firefighters. Occup Med (Lond). 64(6), 428–435. https://doi.org/10.1093/occmed/kqu102. Epub 2014 Aug 7. PMID: 25104277; PMCID: PMC7811883

S.N. Kales, E.S. Soteriades, C.A. Christophi, D.C. Christiani, Emergency duties and deaths from heart disease among firefighters in the United States. N. Engl. J. Med. 356(12), 1207–1215 (2007). https://doi.org/10.1056/NEJMoa060357. (PMID: 17377158)CrossRef

D.M. Baur, C.A. Christophi, S.N. Kales, Metabolic syndrome is inversely related to cardiorespiratory fitness in male career firefighters. J. Strength Cond. Res. 26(9), 2331–2337 (2012). https://doi.org/10.1519/JSC.0b013e31823e9b19. (PMID: 22067249)CrossRef

S.M. Moffatt, D.F. Stewart, K. Jack, M.D. Dudar, E.D. Bode, K.C. Mathias, D.L. Smith, Cardiometabolic health among United States firefighters by age. Prev Med Rep. 14(23), 101492 (2021). https://doi.org/10.1016/j.pmedr.2021.101492.PMID:34354906;PMCID:PMC8322457CrossRef

S.N. Kales, D.L. Smith, Sudden cardiac death in the fire service. Occup. Med. (Lond.) 64(4), 228–230 (2014). https://doi.org/10.1093/occmed/kqu057. (PMID: 24850812)CrossRef

10.

E.S. Soteriades, D.L. Smith, A.J. Tsismenakis, D.M. Baur, S.N. Kales, Cardiovascular disease in US firefighters: a systematic review. Cardiol Rev. 19(4), 202–215. https://doi.org/10.1097/CRD.0b013e318215c105. PMID: 21646874

11.

C.M. Albert, M.A. Mittleman, C.U. Chae, I.M. Lee, C.H. Hennekens, J.E. Manson, Triggering of sudden death from cardiac causes by vigorous exertion. N. Engl. J. Med. 343(19), 1355–1361 (2000). https://doi.org/10.1056/NEJM200011093431902. (PMID: 11070099)CrossRef

12.

B. Choi, S. Ko, S. Kojaku, Resting heart rate, heart rate reserve, and metabolic syndrome in professional firefighters: A cross-sectional study. Am. J. Ind. Med. 60(10), 900–910 (2017). https://doi.org/10.1002/ajim.22752. (Epub 2017 Sep 4 PMID: 28869309)CrossRef

13.

R.A. Marciniak, C.J. Tesch, K.T. Ebersole, Heart rate response to alarm tones in firefighters. Int. Arch. Occup. Environ. Health 94(5), 783–789 (2021). https://doi.org/10.1007/s00420-020-01646-y. (Epub 2021 Jan 10 PMID: 33423092)CrossRef

14.

P.J. Rynne, C.C. Derella, C. McMorrow, R.L. Dickinson, S. Donahue, A.A. Almeida, M. Carty, D.L. Feairheller, Blood pressure responses are dependent on call type and related to hypertension status in firefighters. Blood Press. 32(1), 2161997 (2023). https://doi.org/10.1080/08037051.2022.2161997. (PMID: 36597210)CrossRef

15.

L.M. Liao, M.G. Carey, Laboratory-induced mental stress, cardiovascular response, and psychological characteristics. Rev. Cardiovasc. Med. 16(1), 28–35 (2015). https://doi.org/10.3909/ricm0730. (PMID: 25813794)CrossRef

16.

S. Michael, K.S. Graham, G.M. Davis, Cardiac autonomic responses during exercise and post-exercise recovery using heart rate variability and systolic time intervals—a review. Front. Physiol. 29(8), 301 (2017)CrossRef

17.

K.T. Ebersole, D.J. Cornell, R.J. Flees, C.M. Shemelya, S.E. Noel, Contribution of the autonomic nervous system to recovery in firefighters. J. Athl. Train. 55(9), 1001–1008 (2020). https://doi.org/10.4085/1062-6050-0426.19.PMID:32841323;PMCID:PMC7534942CrossRef

18.

P.C. Fehling, J.M. Haller, W.K. Lefferts, E.M. Hultquist, M. Wharton, T.W. Rowland, D.L. Smith, Effect of exercise, heat stress and dehydration on myocardial performance. Occup. Med. 65(4), 317–323 (2015)CrossRef

19.

J. Gonzalez-Alonso, R. Mora-Rodríguez, E.F. Coyle, Stroke volume during exercise: interaction of environment and hydration. Am. J. Physiol.-Hear. Circ. Physiol. 278(2), H321–H330 (2000)CrossRef

20.

C.R. Cole, E.H. Blackstone, F.J. Pashkow, C.E. Snader, M.S. Lauer, Heart-rate recovery immediately after exercise as a predictor of mortality. N. Engl. J. Med. 341(18), 1351–1357 (1999)CrossRef

21.

Y.J. van de Vegte, P. van der Harst, N. Verweij, Heart rate recovery 10 seconds after cessation of exercise predicts death. J. Am. Heart Assoc. 7(8), e008341 (2018). https://doi.org/10.1161/JAHA.117.008341.PMID:29622586;PMCID:PMC6015434CrossRef

22.

S.S. Al-Zaiti, M.G. Carey, The prevalence of clinical and electrocardiographic risk factors of cardiovascular death among on-duty professional firefighters. J Cardiovasc Nurs. 30(5), 440–446 (2015). https://doi.org/10.1097/JCN.0000000000000165. PMID: 24874885; PMCID: PMC4247346

23.

D.J. Dzikowicz, M.G. Carey, Correlates of autonomic function, hemodynamics, and physical activity performance during exercise stress testing among firefighters. Biol. Res. Nurs. 29, 10998004221143508 (2022)

24.

J.R. Resar, R.M. Judd, H.R. Halperin, V.P. Chacko, R.G. Weiss, F.C. Yin, Direct evidence that coronary perfusion affects diastolic myocardial mechanical properties in canine heart. Cardiovasc. Res. 27(3), 403–410 (1993). https://doi.org/10.1093/cvr/27.3.403. (PMID: 8490939)CrossRef

25.

D. Merkus, F. Kajiya, H. Vink, I. Vergroesen, J. Dankelman, M. Goto, J.A. Spaan, Prolonged diastolic time fraction protects myocardial perfusion when coronary blood flow is reduced. Circulation 100(1), 75–81 (1999). https://doi.org/10.1161/01.cir.100.1.75. (PMID: 10393684)CrossRef

26.

B. Fernhall, C.A. Fahs, G. Horn, T. Rowland, D. Smith, Acute effects of firefighting on cardiac performance. Eur. J. Appl. Physiol. 112, 735–741 (2012)CrossRef

27.

E.C. Lefferts, A.J. Rosenberg, G. Grigoriadis, S.O. Wee, S. Kerber, K.W. Fent, G.P. Horn, D.L. Smith, B. Fernhall, Firefighter hemodynamic responses to different fire training environments. Vasc. Med. 26(3), 240–246 (2021)CrossRef

28.

R.M. Bruno, L. Ghiadoni, G. Seravalle, R. Dell’Oro, S. Taddei, G. Grassi, Sympathetic regulation of vascular function in health and disease. Front. Physiol. 24(3), 284 (2012)

29.

N.K. Foster, J.B. Martyn, R.E. Rangno, J.C. Hogg, R.L. Pardy, Leukocytosis of exercise: role of cardiac output and catecholamines. J. Appl. Physiol. 61(6), 2218–2223 (1986)CrossRef

30.

N. Li, N.H. Wallén, P. Hjemdahl, Evidence for prothrombotic effects of exercise and limited protection by aspirin. Circulation 100(13), 1374–1379 (1999)CrossRef

31.

A.L. Hunter, A.S. Shah, J.P. Langrish, J.B. Raftis, A.J. Lucking, M. Brittan, S. Venkatasubramanian, C.L. Stables, D. Stelzle, J. Marshall, R. Graveling, Fire simulation and cardiovascular health in firefighters. Circulation 135(14), 1284–1295 (2017)CrossRef

32.

S.S. Hegde, A.H. Goldfarb, S.E. Hegde, Clotting and fibrinolytic activity change during the 1 h after a submaximal run. Med. Sci. Sports Exerc. 33(6), 887–892 (2001)CrossRef

33.

X. Lin, M.S. El-Sayed, J. Waterhouse, T. Reilly, Activation and disturbance of blood haemostasis following strenuous physical exercise. Int. J. Sports Med. 20(03), 149–153 (1999)CrossRef

34.

T. Nagel, B. Melton, G.J. Grosicki, Fighting arterial stiffness: A case for the importance of cardiorespiratory fitness in firefighters. Med. Hypotheses 1(162), 110831 (2022)CrossRef

35.

C.A. Fahs, H. Yan, S. Ranadive, L.M. Rossow, S. Agiovlasitis, G. Echols, D. Smith, G.P. Horn, T. Rowland, A. Lane, B. Fernhall, Acute effects of firefighting on arterial stiffness and blood flow. Vasc. Med. 16(2), 113–118 (2011)CrossRef

36.

W.K. Lefferts, K.S. Heffernan, E.M. Hultquist, P.C. Fehling, D.L. Smith, Vascular and central hemodynamic changes following exercise-induced heat stress. Vasc. Med. 20(3), 222–229 (2015)CrossRef

37.

T.R. Nagel, B.F. Melton, J.M. Keeler, B.L. Cross, W.T. Blumenburg, A.A. Flatt, L. Stoner, G.J. Grosicki, Cardiorespiratory fitness is inversely associated with aortic arterial stiffness in firefighters. J. Occup. Environ. Med. 64(10), e641–e646 (2022)CrossRef

38.

S.J. Zieman, V. Melenovsky, D.A. Kass, Mechanisms, pathophysiology, and therapy of arterial stiffness. Arterioscler. Thromb. Vasc. Biol. 25(5), 932–943 (2005). https://doi.org/10.1161/01.ATV.0000160548.78317.29. (Epub 2005 Feb 24 PMID: 15731494)CrossRef

39.

A. Schömig, G. Richardt, Cardiac sympathetic activity in myocardial ischemia: release and effects of noradrenaline. Basic Res. Cardiol. 85(Suppl 1), 9–30 (1990). https://doi.org/10.1007/978-3-662-11038-6_2. (PMID: 2091611)CrossRef

40.

D.L. Smith, G.P. Horn, B. Fernhall, R.M. Kesler, K.W. Fent, S. Kerber, T.W. Rowland, Electrocardiographic responses following live-fire firefighting drills. J. Occup. Environ. Med. 61(12), 1030–1035 (2019). https://doi.org/10.1097/JOM.0000000000001730.PMID:31599801;PMCID:PMC8630674CrossRef

41.

S.S. Al-Zaiti, K.N. Runco, M.G. Carey, Increased T wave complexity can indicate subclinical myocardial ischemia in asymptomatic adults. J Electrocardiol. 44(6), 684–688 (2011). https://doi.org/10.1016/j.jelectrocard.2011.07.017. Epub 2011 Sep 14. PMID: 21924433; PMCID: PMC3200448

42.

T.J. Anderson, F. Charbonneau, L.M. Title, J. Buithieu, M.S. Rose, H. Conradson, K. Hildebrand, M. Fung, S. Verma, E.M. Lonn, Microvascular function predicts cardiovascular events in primary prevention: long-term results from the Firefighters and their endothelium (FATE) study. Circulation 123(2), 163–169 (2011). https://doi.org/10.1161/CIRCULATIONAHA.110.953653. (Epub 2011 Jan 3 PMID: 21200002)CrossRef

43.

D.L. Smith, E.L. Graham, J.A. Douglas, K. Jack, M.J. Conner, R. Arena, S. Chaudhry, Subclinical cardiac dysfunction is associated with reduced cardiorespiratory fitness and cardiometabolic risk factors in firefighters. Am. J. Med. 135(6), 752–760 (2022)CrossRef

44.

D.J. Hausenloy, D.M. Yellon, Ischaemic conditioning and reperfusion injury. Nat. Rev. Cardiol. 13(4), 193–209 (2016). https://doi.org/10.1038/nrcardio.2016.5. (Epub 2016 Feb 4 PMID: 26843289)CrossRef

45.

F. Tomai, F. Crea, L. Chiariello, P.A. Gioffrè, Ischemic preconditioning in humans: models, mediators, and clinical relevance. Circulation 100(5), 559–563 (1999)CrossRef

46.

D.J. Dzikowicz, M.G. Carey, Exercise-induced premature ventricular contractions are associated with myocardial ischemia among asymptomatic adult male firefighters: Implications for enhanced risk stratification. Biol. Res. Nurs. 22(3), 369–377 (2020)CrossRef

47.

M.M. Refaat, C. Gharios, M.V. Moorthy, F. Abdulhai, R.S. Blumenthal, M.A. Jaffa, S. Mora, Exercise-induced ventricular ectopy and cardiovascular mortality in asymptomatic individuals. J. Am. Coll. Cardiol. 78(23), 2267–2277 (2021)CrossRef

48.

A. Van Oosterom, T.F. Oostendorp, ECGSIM: an interactive tool for studying the genesis of QRST waveforms. Heart 90(2), 165–168 (2004)CrossRef

49.

M. Chen, Q. Liu, S. Zhou, The networks between the sympathetic nervous system and immune system in atherosclerosis. J. Am. Coll. Cardiol. 68(4), 431–432 (2016)CrossRef

50.

D.L. Smith, J.M. Haller, M. Korre, P.C. Fehling, K. Sampani, L.G.G. Porto, C.A. Christophi, S.N. Kales, Pathoanatomic findings associated with duty-related cardiac death in US firefighters: A case-control study. J. Am. Heart Assoc. 7, e009446 (2018)CrossRef

51.

C.A. Warnes, W.C. Roberts, Sudden coronary death: relation of amount and distribution of coronary narrowing at necropsy to previous symptoms of myocardial ischemia, left ventricular scarring and heart weight. Am. J. Cardiol. 54(1), 65–73 (1984)CrossRef

52.

M.J. Davies, Anatomic features in victims of sudden coronary death. Coronary artery pathology. Circulation. 85(1 Suppl), I19-24 (1992)

53.

M.L. Wilkinson, A.L. Brown, W.S. Poston, C.K. Haddock, S.A. Jahnke, R.S. Day, Peer reviewed: Physician weight recommendations for overweight and obese firefighters, United States, 2011–2012. Prev. Chronic Disease. 11, (2014)

54.

D.J. Dzikowicz, M.G. Carey, Obesity and hypertension contribute to prolong QRS complex duration among middle-aged adults. Ann. Noninvasive Electrocardiol. 24(6), e12665 (2019)CrossRef

55.

D.J. Dzikowicz, M.G. Carey, Widened QRS-T angle may be a measure of poor ventricular stretch during exercise among on-duty firefighters. J Cardiovasc Nurs. 34(3), 201–207 (2019). https://doi.org/10.1097/JCN.0000000000000554. PMID: 30520777; PMCID: PMC6528825

56.

M.G. Carey, S.S. Al-Zaiti, G.E. Dean, L. Sessanna, D.S. Finnell, Sleep problems, depression, substance use, social bonding, and quality of life in professional firefighters. J. Occup. Environ. Med. 53(8), 928–933 (2011)CrossRef

57.

L.M. Liao, S.S. Al-Zaiti, M.G. Carey, Depression and heart rate variability in firefighters. SAGE open medicine 2, 2050312114545530 (2014)CrossRef

58.

T.C.E. Zippia, Fire fighter demographics and statistics in the US (2023)

59.

K. Saupe, M. Sothmann, D. Jasenof, Aging and the fitness of fire fighters: the complex issues involved in abolishing mandatory retirement ages. Am. J. Public Health 81(9), 1192–1194 (1991). https://doi.org/10.2105/ajph.81.9.1192.PMID:1951832;PMCID:PMC1405652CrossRef

60.

D.J. Dzikowicz, M.G. Carey, Severity of myocardial ischemia is related to career length rather than age among professional firefighters. Workplace health & safety 69(4), 168–173 (2021)CrossRef

61.

A. Coca, R.J. Roberge, W.J. Williams, D.P. Landsittel, J.B. Powell, A. Palmiero, Physiological monitoring in firefighter ensembles: wearable plethysmographic sensor vest versus standard equipment. J. Occup. Environ. Hyg. 7(2), 109–114 (2010). https://doi.org/10.1080/15459620903455722. (PMID: 20017053)CrossRef

62.

U. Pluntke, S. Gerke, A. Sridhar, J. Weiss, B. Michel, Evaluation and classification of physical and psychological stress in firefighters using heart rate variability. Annu Int Conf IEEE Eng Med Biol Soc. 2019, 2207–2212 (2019). https://doi.org/10.1109/EMBC.2019.8856596. (PMID: 31946339)CrossRef

63.

J. Ras, L. Leach, Firefighters’ health knowledge, cardiovascular disease risk factors, and sociodemographic characteristics as predictors of firefighters attitudes toward health. J. Occup. Environ. Med. 64, e705–e713 (2022)CrossRef

64.

M.G. Carey, S.S. Al-Zaiti, L.M. Liao, H.N. Martin, R.A. Butler, A low-glycemic nutritional fitness program to reverse metabolic syndrome in professional firefighters: results of a pilot study. J Cardiovasc Nurs. 26(4), 298–304 (2011). https://doi.org/10.1097/JCN.0b013e31820344d7. PMID: 21263343; PMCID: PMC3114284

65.

E. von Heimburg, J.I. Medbø, M. Sandsund, R.E. Reinertsen, Performance on a work-simulating firefighter test versus approved laboratory tests for firefighters and applicants. Int. J. Occup. Saf. Ergon.: JOSE 19(2), 227–243 (2013)CrossRef

66.

C.A. Gómez, D.V. Kleinman, N. Pronk, G.L. Wrenn Gordon, E. Ochiai, C. Blakey, A. Johnson, K.H. Brewer, Addressing health equity and social determinants of health through healthy people 2030. J Public Health Manag Pract. 27(Suppl 6), S249-S257 (2021). https://doi.org/10.1097/PHH.0000000000001297. PMID: 33729197; PMCID: PMC8478299

67.

M. Carnethon, L.P. Whitsel, B.A. Franklin, P. Kris-Etherton, R. Milani, C.A. Pratt, G.R. Wagner, Worksite wellness programs for cardiovascular disease prevention: a policy statement from the American Heart Association. Circulation 120(17), 1725–1741 (2009)CrossRef

68.

S.L. Tamers, R. Pana-Cryan, T. Ruff, J.M. Streit, M.A. Flynn, A. Childress, C.C. Chang, E. Novicki, T. Ray, D.E. Fosbroke, C.L. Geraci, The NIOSH Future of Work Initiative Research Agenda

69.

W.A. Robison, D.F. Williams, P. Grandillo, NIOSH Extramural Research and Training Program, annual report of fiscal year 2020

70.

J. Yang, C.A. Christophi, A. Farioli, D.M. Baur, S. Moffatt, T.W. Zollinger, S.N. Kales, Association between push-up exercise capacity and future cardiovascular events among active adult men. JAMA Netw. Open 2(2), e188341 (2019). https://doi.org/10.1001/jamanetworkopen.2018.8341.PMID:30768197;PMCID:PMC6484614CrossRef

71.

S. Donahue, C. McMorrow, A.A. Almeida, D.L. Feairheller, Feasibility and perception of a diet and exercise intervention delivered via telehealth to firefighters. Int J Telerehabil. 14(1), e6458 (2022). https://doi.org/10.5195/ijt.2022.6458.PMID:35734390;PMCID:PMC9187031CrossRef

72.

S.J. McEntire, S.E. Reis, O.E. Suman, D. Hostler, Effects of low-dose aspirin therapy on thermoregulation in firefighters. Saf Health Work. 6(3), 256–262 (2015). https://doi.org/10.1016/j.shaw.2015.06.003. Epub 2015 Jun 26. PMID: 26929836; PMCID: PMC4674504

73.

D.L. Smith, N.M.G. Friedman, S.I. Bloom, W.L. Armero, B.D. Pence, M.D. Cook, B. Fernhall, G.P. Horn, J. Woods, Firefighting induces acute inflammatory responses that are not relieved by aspirin in older firefighters. J. Occup. Environ. Med. 61(7), 617–622 (2019). https://doi.org/10.1097/JOM.0000000000001626. (PMID: 31090673)CrossRef

74.

O. Olafiranye, D. Hostler, D.G. Winger, L. Wang, S.E. Reis, Effect of aspirin on acute changes in peripheral arterial stiffness and endothelial function following exertional heat stress in firefighters: The factorial group results of the Enhanced Firefighter Rehab Trial. Vasc. Med. 20(3), 230–236 (2015). https://doi.org/10.1177/1358863X15571447. (Epub 2015 May 4 PMID: 25939657)CrossRef

75.

C.R. Henry, D. Satran, B. Lindgren, C. Adkinson, C.I. Nicholson, T.D. Henry, Myocardial injury and long-term mortality following moderate to severe carbon monoxide poisoning. JAMA 295(4), 398–402 (2006)CrossRef

76.

H. Weir, D.M. Stewart, R.G. Morris, Problematic alcohol consumption by police officers and other protective service employees: A comparative analysis. J. Crim. Just. 40(1), 72–82 (2012)CrossRef

77.

M. Zegel, A. Lebeaut, N. Healy, J.K. Tran, A.A. Vujanovic, Mental health correlates of probable posttraumatic stress disorder, probable alcohol use disorder, and their co-occurrence among firefighters. Behav. Modif. 46(2), 395–421 (2022). https://doi.org/10.1177/01454455211033517. (Epub 2021 Jul 29 PMID: 34323099)CrossRef

78.

I.H. Stanley, J.W. Boffa, M.A. Hom, N.A. Kimbrel, T.E. Joiner, Differences in psychiatric symptoms and barriers to mental health care between volunteer and career firefighters. Psychiatry Res. 247, 236–242 (2017). https://doi.org/10.1016/j.psychres.2016.11.037. (Epub 2016 Nov 28 PMID: 27930964)CrossRef

79.

S.K. Yang, Y. Ha, Predicting posttraumatic growth among firefighters: the role of deliberate rumination and problem-focused coping. Int. J. Environ. Res. Public Health 16(20), 3879 (2019). https://doi.org/10.3390/ijerph16203879.PMID:31614945;PMCID:PMC6843524CrossRef

80.

P.M. Skeffington, C.S. Rees, T.G. Mazzucchelli, R.T. Kane, The primary prevention of PTSD in firefighters: Preliminary results of an RCT with 12-month follow-up. PLoS ONE 11(7), e0155873 (2016). https://doi.org/10.1371/journal.pone.0155873.PMID:27382968;PMCID:PMC4934826CrossRef

81.

H. Cramm, R. Richmond, L. Jamshidi, M. Edgelow, D. Groll, R. Ricciardelli, J.C. MacDermid, M. Keiley, R.N. Carleton, Mental health of canadian firefighters: the impact of sleep. Int. J. Environ. Res. Public Health 18(24), 13256 (2021). https://doi.org/10.3390/ijerph182413256.PMID:34948864;PMCID:PMC8701315CrossRef

82.

M.G. Carey, A.N. Baldzizhar, C.R. Miterko, B.W. Qualls, R.L. Vincent, R. Merrick, G.E. Dean, A quiet firehouse: reducing environmental stimuli among professional on-duty firefighters. J. Occup. Environ. Med. 60(2), 186–190 (2018). https://doi.org/10.1097/JOM.0000000000001199. (PMID: 29049092)CrossRef

Titel: Cardiovascular Function and Deleterious Adaptations Among Firefighters: Implications for Smart Firefighting
verfasst von: Dillon J. Dzikowicz
Salah S. Al-Zaiti
Mary G. Carey
Verlag: Springer Nature Switzerland
Buch: Intelligent Building Fire Safety and Smart Firefighting
Print ISBN: 978-3-031-48160-4

Electronic ISBN: 978-3-031-48161-1

Copyright-Jahr: 2024
DOI: https://doi.org/10.1007/978-3-031-48161-1_19

Springer Professional

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