{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T03:34:59Z","timestamp":1760240099760,"version":"build-2065373602"},"reference-count":19,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2019,3,18]],"date-time":"2019-03-18T00:00:00Z","timestamp":1552867200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000038","name":"Natural Sciences and Engineering Research Council of Canada","doi-asserted-by":"publisher","award":["RGPIN-2018-04613"],"award-info":[{"award-number":["RGPIN-2018-04613"]}],"id":[{"id":"10.13039\/501100000038","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000196","name":"Canada Foundation for Innovation","doi-asserted-by":"publisher","award":["October 2003"],"award-info":[{"award-number":["October 2003"]}],"id":[{"id":"10.13039\/501100000196","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Heart transplantation patients generally demonstrate exercise capacities that are below the minimal standards for firefighting. Therefore, it is unlikely that heart transplantation patients will receive medical and\/or employer clearance for active duty. We report a case of a firefighter who sought to return to full-time active duty following heart transplantation. We examined his physiological readiness to return to work during occupation-specific testing. Remarkably, the patient was able to meet the minimal requirements for full active firefighting. This finding provides direct evidence to support the potential of transplant patients returning to active duty in physiologically demanding occupations.<\/jats:p>","DOI":"10.3390\/jcm8030378","type":"journal-article","created":{"date-parts":[[2019,3,18]],"date-time":"2019-03-18T12:18:53Z","timestamp":1552911533000},"page":"378","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Readiness for Firefighting: A Heart Transplant Patient\u2019s Quest to Return to Work"],"prefix":"10.3390","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2842-9170","authenticated-orcid":false,"given":"Darren E. R.","family":"Warburton","sequence":"first","affiliation":[{"name":"Cardiovascular Physiology and Rehabilitation Laboratory, University of British Columbia, Vancouver, BC V6T 1Z4, Canada"},{"name":"Physical Activity and Chronic Disease Prevention Unit, University of British Columbia, Vancouver, BC V6T 1Z4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arlana","family":"Taylor","sequence":"additional","affiliation":[{"name":"Cardiovascular Physiology and Rehabilitation Laboratory, University of British Columbia, Vancouver, BC V6T 1Z4, Canada"},{"name":"Physical Activity and Chronic Disease Prevention Unit, University of British Columbia, Vancouver, BC V6T 1Z4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronica K.","family":"Jamnik","sequence":"additional","affiliation":[{"name":"Kinesiology and Health Science, York University, Toronto, ON M3J 1P3, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norman","family":"Gledhill","sequence":"additional","affiliation":[{"name":"Kinesiology and Health Science, York University, Toronto, ON M3J 1P3, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon S. D.","family":"Bredin","sequence":"additional","affiliation":[{"name":"Physical Activity and Chronic Disease Prevention Unit, University of British Columbia, Vancouver, BC V6T 1Z4, Canada"},{"name":"Laboratory for Knowledge Mobilization, University of British Columbia, Vancouver, BC V6T 1Z4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2019,3,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1016\/j.amjcard.2003.12.030","article-title":"Effects of upper extremity exercise training on peak aerobic and anaerobic fitness in patients after transplantation","volume":"93","author":"Warburton","year":"2004","journal-title":"Am. J. Cardiol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"H350","DOI":"10.1152\/ajpheart.01100.2008","article-title":"Cardiovascular responses to incremental and sustained submaximal exercise in heart transplant recipients","volume":"296","author":"Scott","year":"2009","journal-title":"Am. J. Physiol.-Heart Circ. Phys."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"171","DOI":"10.2165\/00007256-200030030-00003","article-title":"Exercise following heart transplantation","volume":"30","author":"Braith","year":"2000","journal-title":"Sports Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1016\/S0735-1097(96)00272-0","article-title":"Structure of skeletal muscle in heart transplant recipients","volume":"28","author":"Lampert","year":"1996","journal-title":"J. Am. Coll. 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Heart J."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1161\/CIRCULATIONAHA.117.031445","article-title":"Upper Limits of Aerobic Power and Performance in Heart Transplant Recipients: Legacy Effect of Prior Endurance Training","volume":"137","author":"Haykowsky","year":"2018","journal-title":"Circulation"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1111\/j.1600-6143.2005.01207.x","article-title":"Ast Id Working Group on Infectious Disease Monitoring American Society of Transplantation recommendations for screening, monitoring and reporting of infectious complications in immunosuppression trials in recipients of organ transplantation","volume":"6","author":"Humar","year":"2006","journal-title":"Am. J. Transpl."},{"key":"ref_19","unstructured":"(2019, February 20). Stanford Health Care Infections after Heart Transplant. Available online: https:\/\/stanfordhealthcare.org\/medical-treatments\/h\/heart-transplant\/complications\/infections.html."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/8\/3\/378\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T12:38:45Z","timestamp":1760186325000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/8\/3\/378"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,18]]},"references-count":19,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,3]]}},"alternative-id":["jcm8030378"],"URL":"https:\/\/doi.org\/10.3390\/jcm8030378","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2019,3,18]]}}}