title: High-intensity, occupation-specific training in a series of firefighters during phase II cardiac rehabilitation.
abstract: Six male firefighters who were referred to phase II cardiac rehabilitation after coronary revascularization participated in a specialized regimen of high-intensity, occupation-specific training (HIOST) that simulated firefighting tasks. During each session, the electrocardiogram, heart rate, and blood pressure were monitored, and the patients were observed for adverse symptoms. No patient had to discontinue HIOST because of adverse arrhythmias or symptoms. For physicians who must make decisions about return to work, the information collected over multiple HIOST sessions might be more thorough and conclusive than the information gained during a single treadmill exercise stress test (the recommended evaluation method).
authors.affiliation: Cardiac Rehabilitation Department, Baylor Jack and Jane Hamilton Heart and Vascular Hospital (Adams, Berbarie), the Institute for Health Care Research and Improvement, Baylor Health Care System (Cheng), and the Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center at Dallas and Baylor Hamilton Heart and Vascular Hospital (Berbarie). Dr. Cheng is now with the Division of Biostatistics, The University of Texas School of Public Health Dallas Regional Campus.
authors.forename: Jenny
authors.initials: J
authors.lastname: Adams
authors.forename: Dunlei
authors.initials: D
authors.lastname: Cheng
authors.forename: Rafic F
authors.initials: RF
authors.lastname: Berbarie
references.citation: N Engl J Med. 2007 Mar 22;356(12):1207-15
references.pmid: 17377158
references.citation: Ergonomics. 2003 Aug 15;46(10):1017-33
references.pmid: 12850937
references.citation: Am J Cardiol. 2009 Mar 15;103(6):762-5
references.pmid: 19268728
references.citation: Environ Health. 2003 Nov 06;2(1):14
references.pmid: 14613487
references.citation: Am J Cardiol. 2006 Jan 15;97(2):281-6
references.pmid: 16442380
references.citation: Cardiol Rev. 2011 Jul-Aug;19(4):202-15
references.pmid: 21646874
references.citation: J Cardiovasc Nurs. 2009 Jul-Aug;24(4):261-7
references.pmid: 21206348
references.citation: Occup Med. 1995 Oct-Dec;10(4):843-56
references.pmid: 8903753
references.citation: J Occup Environ Med. 2002 Nov;44(11):1059-63
references.pmid: 12448357