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Volume 356:2535-2537 June 14, 2007 Number 24
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Heart Disease Deaths among Firefighters

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by Kales, S. N.
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To the Editor: It is somewhat surprising that the report by Kales and colleagues (March 22 issue)1 on emergency duties and deaths from heart disease among firefighters in the United States does not cite the possible influence of carbon monoxide as a causative factor in deaths due to coronary heart disease among firefighters suppressing a fire. There is no doubt about the role of moderate and severe carbon monoxide intoxication in myocardial injury or long-term mortality of cardiac origin.2 We performed a study that showed that even in the case of mild carbon monoxide intoxication (carboxyhemoglobin level, <25%), 4% of . . . [Full Text of this Article]



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