Association of waterpipe smoking with myocardial infarction and determinants of metabolic syndrome among catheterized patients

Platt, Daniel E.; Hariri, Essa; Salameh, Pascale; Helou, Mariana; Sabbah, Nada; Merhi, Mahmoud; Chammas, Elie; Ammar, Walid; Abchee, Antoine; Zalloua, Pierre

doi:10.1080/08958378.2017.1384085

Cited by 16 publications

(14 citation statements)

References 34 publications

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“…The harmful effects of WPS are reflected by the increased CAC score (Chami et al, 2019) and the acute (Alomari et al, 2014;Rezk-Hanna et al, 2019;Wolfram et al, 2003) and long-term (Al-Numair et al, 2007;Diab et al, 2015;Ghasemi et al, 2010;Koubaa et al, 2015a;Selim et al, 2013a) endothelial dysfunction, which were established among waterpipe smokers, providing clinical evidence for the potential contribution of WPS to vascular disease. Our findings on WPS effects on cardiovascular system explain and support results of studies which reported a significant correlation between WPS and each of incidence (Al-Amri et al, 2019;Islami et al, 2013;Jabbour et al, 2003;Platt et al, 2017), worse clinical outcomes (Al Suwaidi et al, 2012) and estimated prognoses (Selim et al, 2013b;Sibai et al, 2014) of CVD.…”

Section: Discussionsupporting

confidence: 90%

“…A significant correlation between WPS and the incidence of CVD was reported in four out of seven differently designed stud-ies (Al-Amri et al, 2019;Al Suwaidi et al, 2012;Chami et al, 2019;Islami et al, 2013;Jabbour et al, 2003;Platt et al, 2017;Saffar Soflaei et al, 2018). In a large population-based cohort study with 50045 participants (Islami et al, 2013) heart disease correlated to the consumption of > 180 waterpipe-year (OR: 3.75; 95% CI: 1.52 to 9.22).…”

Section: Cardiovascular Disease 34291 Incidence Of Cardiovascularmentioning

confidence: 96%

“…A recent hospital-based case-control study showed that myocardial infarction (MI) was independently associated with WPS (OR = 10.3; 95% CI: 2.22 to 47.29) (Al-Amri et al, 2019). Similarly, WPS significantly associated with having MI in a cross-sectional hospital-based on 7705 patients referred for cardiac catheterization (OR = 1.3; 95% CI: 1.04 to 1.68; P = 0.021) (Platt et al, 2017) and with having ST-elevation MI (STEMI) in another cross-sectional hospital-based on 7930 patients admitted with acute coronary syndrome (ACS) (Al Suwaidi et al, 2012).…”

Section: Cardiovascular Disease 34291 Incidence Of Cardiovascularmentioning

confidence: 99%

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Cardiovascular effects of waterpipe smoking: a systematic review and meta-analysis

Ali¹,

Vukadinović²,

Maziak³

et al. 2020

Reviews in Cardiovascular Medicine

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Waterpipe smoking has developed into a major and rapidly growing global tobacco epidemic affecting more than 100 million people worldwide. This study identifies and analyzes comprehensively all available data on the cardiovascular effects of waterpipe smoking. Databases PubMed, EMBASE, Web of Science, and the Cochrane Library were searched for studies published until December 2019 assessing cardiovascular effects of waterpipe smoking. We included experimental, cohort, cross-sectional and case-control studies and excluded systematic reviews, case reports/series and qualitative studies. Studies not conducted in humans or not distinguishing waterpipe smoking from other forms of smoking were also excluded. A total of 42 studies with 46 cardiovascular parameters were eligible for analysis. The meta-analysis included 31 studies with 38,037 individuals. Results showed that one waterpipe smoking session leads to immediate increases in heart rate and blood pressure (P < 0.001). Compared to non-smokers, waterpipe smokers had significantly lower high-density lipoprotein levels (P < 0.001), higher levels of low-density lipoprotein (P = 0.04), triglyceride (P < 0.001) and fasting blood glucose (P = 0.03) and higher heart rate (P = 0.04) with a tendency to have higher blood pressure. Mean heart rate, blood pressure and lipids levels did not differ between waterpipe and cigarette smokers, except for total cholesterol, being higher among waterpipe smokers (P < 0.001). Current level of evidence suggests that waterpipe smoking is associated with substantial adverse effects on cardiovascular system, which seem to be similar to those of cigarette smoking. Longitudinal studies are required to scrutinize the magnitude of these effects.

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Section: Discussionsupporting

confidence: 90%

Section: Cardiovascular Disease 34291 Incidence Of Cardiovascularmentioning

confidence: 96%

Section: Cardiovascular Disease 34291 Incidence Of Cardiovascularmentioning

confidence: 99%

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Cardiovascular effects of waterpipe smoking: a systematic review and meta-analysis

Ali¹,

Vukadinović²,

Maziak³

et al. 2020

Reviews in Cardiovascular Medicine

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“…Moreover, dyslipidemia was associated with narghile use. In a Lebanon study performed on patients undergoing cardiac catheterization, Platt et al (2017) noted that MI was significantly and independently associated with narghile use (OR: 1.33), which is lower than that for cigarette consumption (OR:1.87). Moreover, only DM presented significant association with narghile use among MI enrollees (OR: 1.66).…”

Section: Discussionmentioning

confidence: 93%

Biochemical Data and Metabolic Profiles of Male Exclusive Narghile Smokers (ENSs) Compared With Apparently Healthy Nonsmokers (AHNSs)

et al. 2019

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Studies evaluating the metabolic profiles of ENSs are scarce and presented controversial conclusions. This study aimed to compare the metabolic profiles of ENSs’ and AHNSs’ groups. Males aged 25–45 years and free from a known history of metabolic and/or cardiovascular diseases were included. According to the smoking status, two groups of ENSs and AHNSs were identified. Body mass index (BMI, kg/m 2 ), waist circumference (WC, cm), systolic and diastolic blood pressures (SBP, DBP, mmHg), fasting blood data in mmol/L (blood glycemia [FBG], triglycerides [TG], total cholesterol [TC], high- and low- density lipoprotein cholesterol [HDL-C, LDL-C]) and obesity status were evaluated. The metabolic syndrome (MetS) was defined according to the 2006 International Diabetes Federation (IDF) recommendations. Data were expressed as mean ± standard deviation ( SD ) or percentages. Compared to the AHNSs’ group ( n = 29), the ENSs’ one ( n = 29) had (a) higher values of BMI (26.5 ± 2.3 vs. 28.2 ± 3.6), WC (95 ± 7 vs. 100 ± 10), and TG (1.22 ± 0.40 vs. 1.87 ± 0.85); and (b) included a lower percentage of males having low HDL-C (82.7% vs. 62.0%), and higher percentages of males having obesity (6.9% vs. 37.9%) or hypertriglyceridemia (10.7% vs. 51.7%). Both the ENSs’ and AHNSs’ groups: (a) had similar values of FBG (5.38 ± 0.58 vs. 5.60 ± 0.37), TC (4.87 ± 1.16 vs. 4.36 ± 0.74), HDL-C (0.92 ± 0.30 vs. 0.82 ± 0.21), LDL-C (3.09 ± 0.98 vs. 2.92 ± 0.77), SBP (117 ± 9 vs. 115 ± 8), and DBP (76 ± 6 vs. 73 ± 7); and (b) included similar percentages of males having normal weight (17.2% vs. 31.0%); overweight (44.8% vs. 62.1%); android obesity (79.3% vs. 59.6%), hypertension (10.3% vs. 10.3%), hyperglycemia (37.9% vs. 48.2%), and MetS (51.7% vs. 34.5%). There is a need to monitor narghile use among male metabolic patients since it alters some components of the MetS.

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“…Water pipe (shisha) produces similar risks for bystanders as tobacco cigarettes, but concentrations of carbon monoxide and heavy metals are higher in SHS from shisha. Depending on intensity and duration of passive exposure similar CVDs could develop as proven for active consumption, while acute cardiovascular effects on risk groups are expected mainly from fine particulate matter, carbon monoxide and nicotine [73][74][75]. Animal experiments showed hypercoagulability, inflammation, as well as systemic and cardiac oxidative stress [76].…”

Section: Cardiovascular Risks Of Passive Exposure To Emissions Of Watmentioning

confidence: 99%

Effects of Involuntary Smoking and Vaping on the Cardiovascular System

Neuberger

2019

Preprint

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In deaths and diseases attributed to tobacco smoke cardiovascular events exceed cancer and respiratory diseases. Second hand smoke (SHS) promotes the development of arteriosclerosis and can also trigger acute changes of endothelial function and of blood coagulability. Indoor smoking bans reduced coronary syndrome and myocardial infarction 10-20% within one year and were followed by sustainable decreases of stroke and diabetes. With a smoke-free hospitality industry people recognized tobacco smoke as an air pollutant, smoking in public was denormalized and social acceptance of smoking in front of children and pregnant women decreased also in homes and in cars. Combined effects with ambient air pollution are proven for active smoking and suspected for SHS. Contamination with third hand smoke (THS, “cold smoke”)  persists for months in homes and cars, creating secondary pollutants that in some cases are more toxic (e.g., tobacco-specific nitrosamines).  Remnants found in air, dust, and on surfaces (carpets, wallpapers, upholstery, soft toys) were associated with their metabolites in saliva and urine of children and with elevated levels of nicotine on hands and cotinine in urine of nonsmokers residing in homes previously occupied by smokers. In animal experiments effects of THS were found on thrombogenesis, insulin resistance through oxidative stress, on the developing immune system, lipid metabolism and alterations in liver, lung, skin and behavior. Much less is known about health effects for bystanders from the aerosols exhaled during “vaping” of e-cigarettes, but nicotine and other toxins from e-cigarettes are certainly a hazard, which should be prevented by the use of dermal and oral nicotine products, which are safer for nicotine replacement and without risk for bystanders.

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Association of waterpipe smoking with myocardial infarction and determinants of metabolic syndrome among catheterized patients

Abstract: The study provides yet another evidence for the adverse cardiovascular effects of waterpipe smoking on a clinical level. The harmful effects of waterpipe smoking should be underscored by health care professionals.

Cited by 16 publications

References 34 publications

Cardiovascular effects of waterpipe smoking: a systematic review and meta-analysis

Cardiovascular effects of waterpipe smoking: a systematic review and meta-analysis

Biochemical Data and Metabolic Profiles of Male Exclusive Narghile Smokers (ENSs) Compared With Apparently Healthy Nonsmokers (AHNSs)

Effects of Involuntary Smoking and Vaping on the Cardiovascular System

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