Seismocardiographic Evidence of Deteriorating Cardiac Function Among Canadian Police Officers: Evidence from the Longitudinal Royal Canadian Mounted Police Posttraumatic Stress Disorder Study
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Royal Canadian Mounted Police (RCMP) frequently encounter potentially psychologically traumatic events (PPTEs) which include direct (e.g., happened to me) or indirect (e.g., part of my job) exposure to actual or threatened death, serious injury, or sexual violence, and subsequently demonstrate an increased risk of developing posttraumatic stress injuries (PTSIs). Common PTSIs among RCMP members include posttraumatic stress disorder, generalized anxiety disorder, and major depressive disorder, and conditions related to PTSIs, such as alcohol use disorder, although associations between PPTE exposures and physical comorbidities such as neurological and cardiovascular conditions have also been evidenced. The current study was designed to assess for changes in cardiac function among RCMP within their first three years of field service. The current results suggest that despite considerable variations in individual trajectories among RCMP officers in their first 3 years of service, measures of diastolic cardiac function began to change as early as the second year of service, with compensatory changes in systolic function occurring concurrently, or observed after the third year of service. A total of 38.3% of the sample at 3-year follow-up demonstrated MPI values suggestive of altered myocardial function, demonstrating a rate of change that seemingly exceeds what would be considered consistent with healthy aging. The current results also bolster notions that PTSI prevalence among RCMP is related to service experiences, and support the continued development and deployment of organization-level PTSI mitigation strategies for all RCMP.
