Abstract
This study examined standard echocardiographic measures of cardiac size and performance in response to a 3-h firefighting training exercise. Forty experienced male personnel completed a standardized 3 h live firefighting exercise. Before and after the firefighting activities, participants were weighed, height, heart rate, blood pressure and blood samples were obtained, and echocardiographic measurements were made. Firefighting produced significant decreases in left ventricular diastolic dimension, stroke volume, fractional shortening, and mitral E velocity, tachycardia, a rise in core temperature, and a reduction in calculated plasma volume. On tissue Doppler imaging, there were no changes in systolic contractile function, but a decreased lateral wall diastolic velocity was observed. These findings show that 3 h of live firefighting produced cardiac changes consistent with cardiac fatigue, coupled with a decrease in systemic arterial compliance. These data show that live firefighting produces significant cardiovascular changes and future work is needed to evaluate if these changes are related to the increase in cardiovascular risk during live firefighting.

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Bach DS (1996) Quantitative Doppler tissue imaging as a correlate of left ventricular contractility. Int J Card Imaging 12:191–195
Barr D, Gregson W, Reilly T (2010) The thermal ergonomics of firefighting reviewed. Appl Ergon 41:161–172
Chemla D, Hebert JL, Coirault C, Zamani K, Suard I, Colin P, Lecarpentier Y (1998) Total arterial compliance estimated by stroke volume-to-aortic pulse pressure ratio in humans. Am J Physiol 274:H500–H505
Dawson EA, Shave R, George K, Whyte G, Ball D, Gaze D, Collinson P (2005) Cardiac drift during prolonged exercise with echocardiographic evidence of reduced diastolic function of the heart. Eur J Appl Physiol 94:305–309
Dill DB, Costill DL (1974) Calculation of percentage changes in volumes of blood, plasma, and red cells in dehydration. J Appl Physiol 37:247–248
Fahs CA, Heffernan KS, Fernhall B (2009a) Hemodynamic and vascular response to resistance exercise with l-arginine. Med Sci Sports Exerc 41:773–779
Fahs CA, Smith DL, Horn GP, Agiovlasitis S, Rossow LM, Echols G, Heffernan KS, Fernhall B (2009b) Impact of excess body weight on arterial structure, function, and blood pressure in firefighters. Am J Cardiol 104:1441–1445
Fahy RF (2005) U.S. firefighter fatalities due to sudden cardiac death, 1995-2004. National Fire Protection Association
Firefighter Fatality Retrospective Study (2002) USFA-National Fire Data Center. TriData Corporation
Firstenberg MS, Greenberg NL, Main ML, Drinko JK, Odabashian JA, Thomas JD, Garcia MJ (2001) Determinants of diastolic myocardial tissue Doppler velocities: influences of relaxation and preload. J Appl Physiol 90:299–307
Geibe JR, Holder J, Peeples L, Kinney AM, Burress JW, Kales SN (2008) Predictors of on-duty coronary events in male firefighters in the United States. Am J Cardiol 101:585–589
George K, Oxborough D, Forster J, Whyte G, Shave R, Dawson E, Stephenson C, Dugdill L, Edwards B, Gaze D (2005) Mitral annular myocardial velocity assessment of segmental left ventricular diastolic function after prolonged exercise in humans. J Physiol 569:305–313
Gonzalez-Alonso J, Mora-Rodriguez R, Below PR, Coyle EF (1997) Dehydration markedly impairs cardiovascular function in hyperthermic endurance athletes during exercise. J Appl Physiol 82:1229–1236
Hassan MY, Noakes TD, Berlyn P, Shave R, George K (2006) Preload maintenance protects against a depression in left ventricular systolic, but not diastolic, function immediately after ultraendurance exercise. Br J Sports Med 40:536–540 (discussion 540)
Heffernan KS, Collier SR, Kelly EE, Jae SY, Fernhall B (2007) Arterial stiffness and baroreflex sensitivity following bouts of aerobic and resistance exercise. Int J Sports Med 28:197–203
Hostler D, Bednez JC, Kerin S, Reis SE, Kong PW, Morley J, Gallagher M, Suyama J (2010a) Comparison of rehydration regimens for rehabilitation of firefighters performing heavy exercise in thermal protective clothing: a report from the fireground rehab evaluation (FIRE) trial. Prehosp Emerg Care 14:194–201
Hostler D, Reis SE, Bednez JC, Kerin S, Suyama J (2010b) Comparison of active cooling devices with passive cooling for rehabilitation of firefighters performing exercise in thermal protective clothing: a report from the Fireground Rehab Evaluation (FIRE) trial. Prehosp Emerg Care 14:300–309
Kales SN, Soteriades ES, Christophi CA, Christiani DC (2007) Emergency duties and deaths from heart disease among firefighters in the United States. N Engl J Med 356:1207–1215
Kales SN, Tsismenakis AJ, Zhang C, Soteriades ES (2009) Blood pressure in firefighters, police officers, and other emergency responders. Am J Hypertens 22:11–20
King DW, Gollnick PD (1970) Ultrastructure of rat heart and liver after exhaustive exercise. Am J Physiol 218:1150–1155
Maher JT, Goodman AL, Francesconi R, Bowers WD, Hartley LH, Angelakos ET (1972) Responses of rat myocardium to exhaustive exercise. Am J Physiol 222:207–212
Middleton N, Shave R, George K, Whyte G, Hart E, Atkinson G (2006) Left ventricular function immediately following prolonged exercise: a meta-analysis. Med Sci Sports Exerc 38:681–687
Mittleman MA, Maclure M, Tofler GH, Sherwood JB, Goldberg RJ, Muller JE (1993) Triggering of acute myocardial infarction by heavy physical exertion. Protection against triggering by regular exertion. Determinants of Myocardial Infarction Onset Study Investigators. N Engl J Med 329:1677–1683
Neilan TG, Januzzi JL, Lee-Lewandrowski E, Ton-Nu TT, Yoerger DM, Jassal DS, Lewandrowski KB, Siegel AJ, Marshall JE, Douglas PS, Lawlor D, Picard MH, Wood MJ (2006a) Myocardial injury and ventricular dysfunction related to training levels among nonelite participants in the Boston marathon. Circulation 114:2325–2333
Neilan TG, Yoerger DM, Douglas PS, Marshall JE, Halpern EF, Lawlor D, Picard MH, Wood MJ (2006b) Persistent and reversible cardiac dysfunction among amateur marathon runners. Eur Heart J 27:1079–1084
Ommen SR, Nishimura RA, Appleton CP, Miller FA, Oh JK, Redfield MM, Tajik AJ (2000) Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressures: a comparative simultaneous Doppler-catheterization study. Circulation 102:1788–1794
Opdahl A, Remme EW, Helle-Valle T, Lyseggen E, Vartdal T, Pettersen E, Edvardsen T, Smiseth OA (2009) Determinants of left ventricular early-diastolic lengthening velocity: independent contributions from left ventricular relaxation, restoring forces, and lengthening load. Circulation 119:2578–2586
Pombo JF, Troy BL, Russell RO Jr (1971) Left ventricular volumes and ejection fraction by echocardiography. Circulation 43:480–490
Scharhag J, Meyer T, Auracher M, Muller M, Herrmann M, Gabriel H, Herrmann W, Kindermann W (2008a) Exercise-induced increases in NT-proBNP are not related to the exercise-induced immune response. Br J Sports Med 42:383–385
Scharhag J, Shave R, George K, Whyte G, Kindermann W (2008b) Exercise-induced increases in cardiac troponins in endurance athletes: a matter of exercise duration and intensity? Clin Res Cardiol 97:62–63 (author reply 61)
Scott JM, Warburton DE (2008) Mechanisms underpinning exercise-induced changes in left ventricular function. Med Sci Sports Exerc 40:1400–1407
Scott JM, Esch BT, Shave R, Warburton DE, Gaze D, George K (2009) Cardiovascular consequences of completing a 160-km ultramarathon. Med Sci Sports Exerc 41:26–34
Shave R, George K, Whyte G, Hart E, Middleton N (2008) Postexercise changes in left ventricular function: the evidence so far. Med Sci Sports Exerc 40:1393–1399
Shave R, George K, Whyte G, Middleton N, Hart E, Artis N, Oxborough D (2009) A comparison of Doppler, tissue Doppler imaging, and strain rate imaging in the assessment of postexercise left ventricular function. Appl Physiol Nutr Metab 34:33–39
Shibata S, Hastings JL, Prasad A, Fu Q, Okazaki K, Palmer MD, Zhang R, Levine BD (2008) ‘Dynamic’ Starling mechanism: effects of ageing and physical fitness on ventricular-arterial coupling. J Physiol 586:1951–1962
Smith DL, Petruzzello SJ (1998) Selected physiological and psychological responses to live-fire drills in different configurations of firefighting gear. Ergonomics 41:1141–1154
Smith DL, Manning TS, Petruzzello SJ (2001) Effect of strenuous live-fire drills on cardiovascular and psychological responses of recruit firefighters. Ergonomics 44:244–254
Smith DL, Petruzzello SJ, Chludzinski MA, Reed JJ, Woods JA (2005) Selected hormonal and immunological responses to strenuous live-fire firefighting drills. Ergonomics 48:55–65
Sohn DW, Chai IH, Lee DJ, Kim HC, Kim HS, Oh BH, Lee MM, Park YB, Choi YS, Seo JD, Lee YW (1997) Assessment of mitral annulus velocity by Doppler tissue imaging in the evaluation of left ventricular diastolic function. J Am Coll Cardiol 30:474–480
Soteriades ES, Hauser R, Kawachi I, Liarokapis D, Christiani DC, Kales SN (2005) Obesity and cardiovascular disease risk factors in firefighters: a prospective cohort study. Obes Res 13:1756–1763
Webb HE, McMinn DR, Garten RS, Beckman JL, Kamimori GH, Acevedo EO (2010) Cardiorespiratory responses of firefighters to a computerized fire strategies and tactics drill during physical activity. Appl Ergon 41:376–381
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This study was supported by grant EMW-2007-FP-02328 from the Federal Emergency Management Agency.
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Communicated by Dag Linnarsson.
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Fernhall, B., Fahs, C.A., Horn, G. et al. Acute effects of firefighting on cardiac performance. Eur J Appl Physiol 112, 735–741 (2012). https://doi.org/10.1007/s00421-011-2033-x
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DOI: https://doi.org/10.1007/s00421-011-2033-x