Cardiac Enlargement in US Firefighters: Prevalence Estimates by Echocardiography, Cardiac Magnetic Resonance and Autopsies

Maria Korre^1,2, Konstantina Sampani^1,2, Luiz Guilherme G Porto^1,3, Andrea Farioli^1,2,4, Yustin Yang¹, David C Christiani¹, Costas A Christophi^1,5, David A Lombardi^1,6, Richard J Kovacs⁷, Ronald Mastouri⁷, Siddique Abbasi⁸, Michael Steigner⁹, Steven Moffatt¹⁰, Denise L Smith¹¹ and Stefanos N Kales^1,2*

¹Environmental and Occupational Medicine and Epidemiology Program, Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA

²Cambridge Health Alliance, Harvard Medical School, Cambridge, Massachusetts, USA

³Faculty of Physical Education and Cardiovascular Laboratory of the Faculty of Medicine, University of Brasilia, DF, Brazil

⁴Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Italy

⁵Cyprus International Institute for Environmental and Public Health in association with Harvard School of Public HealthLimassol, Cyprus University of Technology, Limassol, Cyprus

⁶Center for Injury Epidemiology, Liberty Mutual Research Institute for Safety, Hopkinton, MA, USA

⁷Indiana University, Indianapolis, IN, USA

⁸Providence VA Medical Center and Cardiovascular Institute of the Alpert Medical School of Brown University, USA

⁹Brigham and Women’s Hospital, Bsoton, MA, USA

¹⁰Public Safety Medical, Indianapolis, IN, USA

¹¹Department of Health and Exercise Sciences, Skidmore College, Saratoga Springs, New York, NY 12866, USA

^*Corresponding Author: Stefanos N Kales, Cambridge Hospital Macht Building 427, 1493 Cambridge Street, Cambridge, MA 02139, USA, Tel: 617.665.1580 Email: