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Suggested Citation:"Cardiac Sensitization." National Research Council. 2000. Submarine Exposure Guidance Levels for Selected Hydrofluorocarbons: HFC-236fa, HFC-23,and HFC-404a. Washington, DC: The National Academies Press. doi: 10.17226/9815.
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HYDROFLUOROCARBON-404A 49 (whole body) to HFC-125 at 800,000 ppm for 4 hr (Nakayama et al. 1992a, as cited in Kawano et al. 1995). Oxygen was maintained at 200,000 ppm. No deaths occurred during exposure or during the 14-day post-exposure observation period. Clinical signs observed during exposure included ataxia, decreased locomotor activity, dyspnea, and decreased auditory response. These signs disappeared within 1 hr after exposure. Thus, the 4-hr LC50 value for HFC-125 is considered to be greater than 800,000 ppm. Cardiac Sensitization Male beagle dogs were exposed to HFC-125 at concentrations of 0, 75,000, 100,000, 150,000, 200,000, 250,000, or 300,000 ppm for 10 min. An intravenous injection of epinephrine was administered before and during exposure to HFC-125 (Hardy 1992, as cited in Kawano et al. 1995). If a life- threatening arrhythmia occurred after the challenge injection, the material was considered a cardiac sensitizer at that inhaled concentration. A known cardiac sensitizer (CFC-11) was used as a positive control to validate the system, and Halon 1301 (CF3 Br), also a known cardiac sensitizer, was used to provide comparative data. Positive evidence of cardiac sensitization was seen at 100,000 ppm and greater but not at 75,000 ppm. Therefore, the no-observed-adverse- effect level (NOAEL) for cardiac sensitization was determined to be 75,000 ppm and the lowest-observed-adverse-effect level (LOAEL) was 100,000 ppm. HFC-125 was less potent than CFC-11 but more potent than Halon 1301. Vinegar and Jepson (1995) proposed a quantitative approach for relating blood-concentration time courses to cardiac-sensitization thresholds during inhalation of HFC-125. A physiologically based pharmacokinetic model was used to simulate blood concentrations of HFC-125 in humans during inhalation exposure. The target concentration of HFC-125 in blood was established by simulating a 5-min inhalation exposure at the LOAEL for cardiac sensitization (100,000 ppm). Although the chemical concentration in venous blood does not achieve a steady-state value after 5 min, that exposure period is used in most cardiac-sensitization protocols prior to epinephrine challenge. The blood concentration achieved after 5 min was used as the concentration at which cardiac sensitization was likely to occur. The exposure time required to produce that target level at various concentrations was estimated for resting- and moderate-activity conditions. Results of this study showed that some exposures will not produce the target chemical concentrations in blood no matter how long the exposure occurs, that expo

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Submarine Exposure Guidance Levels for Selected Hydrofluorocarbons: HFC-236fa, HFC-23,and HFC-404a Get This Book
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 Submarine Exposure Guidance Levels for Selected Hydrofluorocarbons: HFC-236fa, HFC-23,and HFC-404a
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As part of the effort to phase out the use of stratospheric ozone-depleting substances, such as chlorofluorocarbons (CFCs), the U.S. Navy is considering hydrofluorocarbons (HFCs) as replacements for the CFC refrigerants used aboard its submarines. Before using the HFCs, the Navy plans to set emergency exposure guidance levels (EEGLs) and continuous exposure guidance levels (CEGLs) to protect submariners from health effects that could occur as a result of accidental releases or slow leaks.

In this report, the Subcommittee on Exposure Guidance Levels for Selected Hydrofluorocarbons of the National Research Council's (NRC 's) Committee on Toxicology independently reviews the scientific validity of the Navy's proposed 1-hr and 24-hr EEGLs and 90-day CEGLs for two of the candidate refrigerants-HFC-236fa and HFC-404a. In addition, the subcommittee reviews the the EEGLs and CEGL for HFC-23, one of the combustion products of HFC-236fa. This NRC report is intended to aid the Navy in using HFCs safely.

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