Kinetics of Exhaled Carbon Monoxide After Water-pipe Smoking Indoors and Outdoors

Juhász, Ágnes; Pap, Dalma; Barta, Imre; Drozdovszky, Orsolya; Egresi, Andrea; Antus, Balázs

doi:10.1016/j.chest.2017.02.006

Cited by 7 publications

(3 citation statements)

References 30 publications

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“…More recently, a Mendelian Randomization Meta-Analysis looking at the effect of smoking on blood pressure and resting heart rate measurements revealed that smoking one additional cigarette per day was associated with a 0.08 mmHg increase in SBP, 0.05 mmHg increase in DBP, and 0.21 bpm increase in HR 26 . Additionally, not only does the literature suggest comparable changes in hemodynamic parameters with acute use of cigarettes or WPS, but also that WPS may actually be associated with higher levels of exposure to some toxicants such as tobacco-specific nitrosamines, polycyclic aromatic hydrocarbons, volatile aldehydes, benzene, nitric oxide, heavy metals, and CO due to the burning of charcoal to heat tobacco-or nontobacco-based shisha in the hookah WP 20,21,27,28 . In a direct comparison of toxicant exposure between WPS and cigarette smoking, Eissenberg and Shihadeh in 2009 found that WPS was associated with an average increase in expired CO by 23.9 ppm whereas the average expired CO for cigarette smoking was 2.7 ppm 28 .…”

Section: Discussionmentioning

confidence: 99%

Cardiopulmonary Risk of Waterpipe Smoke: A Meta-Analysis

Marshall¹,

Ghazipura²,

Hossain³

et al. 2018

J Lung Health Dis

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Purpose: This study aimed to analyze and summarize the effects that waterpipe (WP) smoke has on the cardiopulmonary system through a systematic review and meta-analysis. Methods:We searched MEDLINE, Embase, Wiley Cochrane Library, Centre for Reviews and Dissemination, CINAHL Plus, and grey literature in March 2017. Our inclusion criteria for the studies were a comparison of WP smokers before and after waterpipe smoking (WPS) or to non-smokers.Results: Using a random effects meta-analysis, a WPS session was associated with an elevation in systolic blood pressure (SBP) by 6.45 mmHg (95% CI 3.87 to 9.04; p < 0.0001), diastolic blood pressure (DBP) by 3.71 mmHg (95% CI 2.34 to 5.08; p < 0.0001), mean arterial pressure by 5.54 mmHg (95% CI 3.33 to 7.76; p < 0.0001), heart rate by 7.03 bpm (95% CI 4.60 to 9.46; p < 0.0001), carboxyl hemoglobin (COHb) by 4.11% (95% CI 3.38 to 4.84; p < 0.0001), and expired carbon monoxide (CO) by 22.53 ppm (95% CI 15.99 to 29.08; p < 0.0001). Conclusion:WPS exposure is associated with significant acute increases in cardiopulmonary hemodynamic parameters, along with COHb and expired CO. These findings parallel the acute effects seen with cigarette smoking.

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Section: Discussionmentioning

confidence: 99%

Cardiopulmonary Risk of Waterpipe Smoke: A Meta-Analysis

Marshall¹,

Ghazipura²,

Hossain³

et al. 2018

J Lung Health Dis

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“…Smoke exposure causes an elevation in exhaled CO concentration that is strongly related to the number of cigarettes smoked by smokers, and therefore it is frequently used to test smoking status and the results of smoking cessation [ 22 , 161 , 162 ]. Changes in the exhaled CO level due to environmental smoke exposure requires special attention when it is interpreted as a potential biomarker of endogenously produced CO.…”

Section: Exhaled Gaso-transmittersmentioning

confidence: 99%

Exhaled Biomarkers for Point-of-Care Diagnosis: Recent Advances and New Challenges in Breathomics

et al. 2023

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Cancers, chronic diseases and respiratory infections are major causes of mortality and present diagnostic and therapeutic challenges for health care. There is an unmet medical need for non-invasive, easy-to-use biomarkers for the early diagnosis, phenotyping, predicting and monitoring of the therapeutic responses of these disorders. Exhaled breath sampling is an attractive choice that has gained attention in recent years. Exhaled nitric oxide measurement used as a predictive biomarker of the response to anti-eosinophil therapy in severe asthma has paved the way for other exhaled breath biomarkers. Advances in laser and nanosensor technologies and spectrometry together with widespread use of algorithms and artificial intelligence have facilitated research on volatile organic compounds and artificial olfaction systems to develop new exhaled biomarkers. We aim to provide an overview of the recent advances in and challenges of exhaled biomarker measurements with an emphasis on the applicability of their measurement as a non-invasive, point-of-care diagnostic and monitoring tool.

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“…Il existe des estimations faisant état d'expositions bien plus importantes aux substances nocives. L'absorption massive de CO et de benzol (une substance cancérogène) revêt une importance particulière[15,16].Le tabagisme passif lié à l'utilisation de pipes à eau constitue un problème de santé potentiel significatif si l'on tient compte des quantités de substances nocives dans l'air intérieur et notamment des particules fines[4,12]. Un des principaux problèmes de l'utilisation de chichas est la dépendance à la nicotine et les répercussions sur le développement du cerveau, en particulier des enfants et des adolescents: elle conduit rapidement à la consommation de cigarettes et rend plus difficile le sevrage[1,4,18].…”

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Fiche d’information à l’intention des médecins - Fiche n° 3: Pipe à eau/narguilé

2018

Prim Hosp Care (fr)

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Kinetics of Exhaled Carbon Monoxide After Water-pipe Smoking Indoors and Outdoors

Cited by 7 publications

References 30 publications

Cardiopulmonary Risk of Waterpipe Smoke: A Meta-Analysis

Cardiopulmonary Risk of Waterpipe Smoke: A Meta-Analysis

Exhaled Biomarkers for Point-of-Care Diagnosis: Recent Advances and New Challenges in Breathomics

Fiche d’information à l’intention des médecins - Fiche n° 3: Pipe à eau/narguilé

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