Smoking and coronary artery disease assessed by routine coronary arteriography.

Ramsdale, David R.; Faragher, E. B.; Bray, Colin; Bennett, D H; Ward, Chad; Beton, D. C.

doi:10.1136/bmj.290.6463.197

Cited by 56 publications

(23 citation statements)

References 19 publications

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“…This agrees with The European Guidelines on cardiovascular disease prevention in clinical practice, 2012 (20) that the risk associated with smoking is primarily related to the amount of tobacco smoked daily and shows a clear dose-response relationship with no lower limit for deleterious effects (22). Duration also plays a role, and, while cigarette smoking is the most common, all types of smoked tobacco are harmful (20).…”

Section: Discussionsupporting

confidence: 64%

Impact of shisha smoking on the extent of coronary artery disease in patients referred for coronary angiography

Selim¹,

Fouad²,

Ezzat³

2013

Anadolu Kardiyol Derg

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Objective: To study the impact of shisha smoking on the extent of coronary artery disease. Methods: Patients who underwent coronary angiography were included in this observational cohort study and were divided to four groups according to the smoking pattern: shisha smokers, cigarettes smokers, mixed smokers (shisha and cigarettes) and non-smokers. Coronary angiography was done and the severity of coronary artery disease was defined according to Duke Jeopardy Score (DJ). Results: The study comprised of 287 consecutive patients; 22% were shisha smokers, 35% cigarette smokers, 5% mixed smokers and 38% non-smokers. Significant elevation of systolic blood pressure (p=0.009) and heart rate (p<0.001) were observed among mixed smokers followed by shisha smokers, cigarettes smokers and non-smokers respectively. The mean value of DJ score was highest among shisha smokers than mixed smokers, cigarettes smokers and non-smokers respectively (p=0.012). We also compared DJ score in shisha smokers with CAD vs nonshisha smokers with CAD and we found that 71.43% of shisha smokers had an advanced DJ score (>6) which was statistically significant (p=0.008) where shisha smokers showed significantly higher resting pulse (p<0.001) and systolic blood pressure (p=0.001) compared to nonshisha smokers and mean DJ score was significantly higher among shisha smokers (6.961±3.238) vs non-shisha smokers (5.762±3.062) (p=0.004). Conclusion: Shisha smoking is associated with severe coronary artery disease that calls for the need to enroll them in tobacco cessation courses. (Anadolu Kardiyol Derg 2013; 13: 647-54) Key words: Coronary artery disease, shisha smoking, Duke Jeopardy score Original Investigation Özgün Araşt›rma 647ÖZET Amaç: Nargile içiminin koroner arter hastalığının (KAH) yaygınlığına etkisini araştırmak.Yöntemler: Bu gözlemsel kohort çalışmaya koroner anjiyografi yapılan hastalar dahil edildi ve sigara içme alışkanlıklarına göre dört gruba ayrıldı; nargile içenler, sigara içenler, karışık içenler (nargile ve sigara) ve sigara içmeyenler. Koroner anjiyografi yapıldı ve koroner arter hastalığının ciddiyetini belirlemek için Duke Jeopardy skorlaması (DJS) kullanıldı. Bulgular: Ardışık 287 hastadan oluşan çalışmanın; %22'si nargile içenler, %35'i sigara içenler, %5'i karışık içenler ve %38'i sigara içmeyenlerdir. Sırasıyla; karışık içenler, nargile içenler, sigara içenler ve içmeyenlerin sistolik kan basıncı (p=0,009) ve kalp hızında (p<0,001) önemli yükselmeler gözlenmiştir. Ortalama DJ score nargile içenler arasında; sırasıyla karışık içenler, sigara içenler ve içmeyenlerden daha yüksektir (p=0,012). Ayrıca, KAH'lı nargile içen hastaların DJ score'u ile nargile içmeyen KAH'lı hastaların scorlarını karşılaştırdık ve nargile içenlerin %71,43'ünün içmeyenle-re göre istatistik anlamda (p=0,008) ileri DJ score'u (>6) vardı. Buna karşılık nargile içenler; nargile içmeyenlerle karşılaştırıldığında istirahat nabzı (p<0,001) ve sistolik kan basıncı (p=0,001) önemli derecede daha yüksekti; ortalama DJ score nargile içmeyenlere göre (5...

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Section: Discussionsupporting

confidence: 64%

Impact of shisha smoking on the extent of coronary artery disease in patients referred for coronary angiography

Selim¹,

Fouad²,

Ezzat³

2013

Anadolu Kardiyol Derg

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“…26 However, those studies used the number of cigarettes smoked per day or the pack-years or the history of cigarette smoking as defined risk variables but did not assess the duration of smoking as a separate variable, and most did not assess confounding effects of other risk factors. A study of ischemic heart disease has also noted that years smoked was the most significant indicator of ischemic heart disease among all smoking variables.…”

Section: Discussionmentioning

confidence: 99%

Duration of cigarette smoking is the strongest predictor of severe extracranial carotid artery atherosclerosis.

Whisnant

Homer

Ingall

et al. 1990

Stroke

137

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The effect of cigarette smoking on extracranial carotid atherosclerosis was studied by obtaining cigarette smoking histories and information on other potential risk factors from consecutive patients undergoing carotid arteriography. At least one extracranial carotid artery was visualized in 752 patients in whom the extent of carotid atherosclerosis was assessed. The total years of cigarette smoking was the most significant independent predictor of the presence of severe carotid atherosclerosis. Other independent predictors, in order of significance, were age, hypertension, diabetes mellitus, male sex, and current systolic blood pressure. By age 60 years, the risk of having severe carotid atherosclerosis for a person who had smoked for 40 years was approximately 3.5 times that for a never smoker. The major benefit of smoking cessation is in limiting the accumulation of smoking years. (Stroke 1990;21:707-714)

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“…Cigarette smoking is the most significant behavioral risk factor associated with CVD risk, 215 and the severity of CVD increases as a function of the number of pack-years. 216 Adults with MDD and BD are 2 to 3 times more likely to be smokers and less likely to successfully quit smoking.…”

Section: Tobacco Smoking and Substance Usementioning

confidence: 99%

Major Depressive Disorder and Bipolar Disorder Predispose Youth to Accelerated Atherosclerosis and Early Cardiovascular Disease

Goldstein¹,

Carnethon²,

Matthews³

et al. 2015

Circulation

404

290

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Abstract-In the 2011 "Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children andAdolescents," several medical conditions among youth were identified that predispose to accelerated atherosclerosis and early cardiovascular disease (CVD), and risk stratification and management strategies for youth with these conditions were elaborated. Major depressive disorder (MDD) and bipolar disorder (BD) among youth satisfy the criteria set for, and therefore merit inclusion among, Expert Panel tier II moderate-risk conditions. The combined prevalence of MDD and BD among adolescents in the United States is ≈10%, at least 10 times greater than the prevalence of the existing moderate-risk conditions combined. The high prevalence of MDD and BD underscores the importance of positioning these diseases alongside other pediatric diseases previously identified as moderate risk for CVD. The overall objective of this statement is to increase awareness and recognition of MDD and BD among youth as moderate-risk conditions for early CVD. To achieve this objective, the primary specific aims of this statement are to (1) summarize evidence that MDD and BD are tier II moderate-risk conditions associated with accelerated atherosclerosis and early CVD and (2)

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Smoking and coronary artery disease assessed by routine coronary arteriography.

Cited by 56 publications

References 19 publications

Impact of shisha smoking on the extent of coronary artery disease in patients referred for coronary angiography

Impact of shisha smoking on the extent of coronary artery disease in patients referred for coronary angiography

Duration of cigarette smoking is the strongest predictor of severe extracranial carotid artery atherosclerosis.

Major Depressive Disorder and Bipolar Disorder Predispose Youth to Accelerated Atherosclerosis and Early Cardiovascular Disease

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