Fire Fighting and Coronary Heart Disease

Some studies suggest that fire fighters are at a higher risk of developing coronary heart disease than are males in the general population. We followed 1646 men for 10 years to determine the incidence of coronary heart disease. Subjects were participants of the Normative Aging Study, a longitudinal study of aging. Comparison of fire fighters (n = 171) and non-fire fighters (n = 1475) showed no significant difference in the incidence rates of coronary heart disease. Comparison of the groups regarding baseline risk factors revealed no material difference. These data suggest that fire fighters do not have an excess risk of coronary heart disease.

[1]  J. Melin,et al.  Diagnostic Value of Exercise Electrocardiography and Thallium Myocardial Scintigraphy in Patients Without Previous Myocardial Infarction: A Bayesian Approach , 1981, Circulation.

[2]  G. Gardner,et al.  Near-maximal ECG stress testing and coronary artery disease risk factor analysis in Los Angeles City fire fighters. , 1975, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[3]  K. Rothman,et al.  Epidemiologic Analysis with a Programmable Calculator , 1982 .

[4]  J. Felton Conducting cardiopulmonary evaluations of County of Los Angeles safety personnel. , 1973, Health services reports.

[5]  M C Hjortland,et al.  High density lipoprotein as a protective factor against coronary heart disease. The Framingham Study. , 1977, The American journal of medicine.

[6]  O. Miettinen,et al.  Estimability and estimation in case-referent studies. , 1976, American journal of epidemiology.

[7]  J. Medalie,et al.  High density lipoprotein cholesterol and incidence of coronary heart disease--the Israeli Ischemic Heart Disease Study. , 1979, American journal of epidemiology.

[8]  F. Foldes,et al.  Determination of cholesterol. Adaptation of SchoenheimerSperry method to photoelectric instruments. , 1950 .

[9]  J. Weber,et al.  Carbon monoxide: a hazard to fire fighters. , 1979, Archives of environmental health.

[10]  W. Kannel Role of blood pressure in cardiovascular morbidity and mortality. , 1974, Progress in cardiovascular diseases.

[11]  R. Brand,et al.  Multivariate prediction of coronary heart disease during 8.5 year follow-up in the Western Collaborative Group Study. , 1976, The American journal of cardiology.

[12]  A R Feinstein,et al.  Methodologic problems of exercise testing for coronary artery disease: groups, analysis and bias. , 1980, The American journal of cardiology.

[13]  F. Epstein,et al.  EPIDEMIOLOGICAL STUDIES OF CARDIOVASCULAR DISEASE IN A TOTAL COMMUNITY--TECUMSEH, MICHIGAN. , 1965, Annals of internal medicine.

[14]  W. Kannel,et al.  Systolic versus diastolic blood pressure and risk of coronary heart disease. The Framingham study. , 1971, The American journal of cardiology.

[15]  W. Haenszel,et al.  Statistical aspects of the analysis of data from retrospective studies of disease. , 1959, Journal of the National Cancer Institute.

[16]  V. Esch,et al.  Polyvinyl chloride toxicity in fires. Hydrogen chloride toxicity in fire fighters. , 1976, JAMA.

[17]  Albert Damon,et al.  The Normative Aging Study: An Interdisciplinary and Longitudinal Study of Health and Aging , 1972 .

[18]  G. Gardner,et al.  "Ischemic" heart disease in fire fighters with normal coronary arteries. , 1976, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[19]  F. Crick,et al.  DEPARTMENT of Health, Education, and Welfare. , 1953, California medicine.