Clinical Trial Details
— Status: Terminated
Administrative data
| NCT number |
NCT04423822 |
| Other study ID # |
19CH235 |
| Secondary ID |
2020-A00270-39 |
| Status |
Terminated |
| Phase |
|
| First received |
|
| Last updated |
|
| Start date |
January 12, 2021 |
| Est. completion date |
September 18, 2021 |
Study information
| Verified date |
December 2021 |
| Source |
Centre Hospitalier Universitaire de Saint Etienne |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Observational
|
Clinical Trial Summary
If the risk of myocardial infarction in activity is widely demonstrated to date for
firefighters, and the realization of a stress test in those at high cardiovascular risk
included in the practice habits, no study has evaluated the contributions and limits of the
realization of a stress test in this specific population of firefighters at high
cardiovascular risk for the prediction of cardiovascular events.
Description:
The professional practice of firefighting presents risks specific, especially cardiovascular.
In the United States 30% of Firefighter deaths are the result of a myocardial infarction that
occurred while on duty. Certain occupational tasks expose firefighters to a higher risk of
myocardial infarction (high physical load, inhalation of products). There is no
recommendation on how to assess cardiovascular risk in French firefighters. In the absence of
consensus, the Loire Departmental Fire and Rescue Service has constructed a scale for
collecting cardiovascular risk factors (expert working group) to identify firefighters at
high cardiovascular risk. A maintenance visit (mandatory every two years until the age of 38
and then once a year) is the best way to assess this cardiovascular risk, with a biological
assessment and an electrocardiogram after the age of 40. If cardiovascular risk factors are
present and the cardiovascular risk is high, the resting electrocardiogram should be
supplemented by an exercise test. An exercise test can directly or indirectly quantify the
endurance capacities of firefighters and reveal cardiac abnormalities sometimes absent at
rest. Half of all myocardial infarctions occur without any prior symptomatology and remain
totally asymptomatic, discovered during routine examinations. If the risk of myocardial
infarction in activity is widely demonstrated to date for firefighters, and the realization
of a stress test in those at high cardiovascular risk included in the practice habits, no
study has evaluated the contributions and limits of the realization of a stress test in this
specific population of firefighters at high cardiovascular risk for the prediction of
cardiovascular events.
