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Comparison of Acute Effects of E-cigarettes With and Without Nicotine and Tobacco Cigarettes on Hemodynamic and Endothelial Parameters: A Systematic Review and Meta-analysis.
Qazi, Shurjeel Uddin; Ansari, Muhammad Huzaifa-Ul-Haq; Ghazanfar, Shamas; Ghazanfar, Syed Shahryar; Farooq, Minaam.
Afiliación
  • Qazi SU; Department of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan.
  • Ansari MH; Department of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan.
  • Ghazanfar S; Department of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan.
  • Ghazanfar SS; Department of Emergency Medicine, St. Anthony Hospital, Lakewood, Denver, CO, USA. Shahryar.ghazanfar@gmail.com.
  • Farooq M; Department of Neurological Surgery, King Edward Medical University, Lahore, Pakistan.
High Blood Press Cardiovasc Prev ; 31(3): 225-237, 2024 May.
Article en En | MEDLINE | ID: mdl-38668958
ABSTRACT

INTRODUCTION:

Smoke from traditional cigarettes and e-cigarette aerosols have distinct chemical compositions that may impact blood pressure (BP) and heart rate (HR) differently.

AIMS:

This study compared the impact of nicotine-containing e-cigarettes (EC+) versus nicotine-free (EC-) on BP, HR and endothelial markers, and assessed if EC+ posed fewer risks than tobacco cigarettes (TC).

METHODS:

Electronic databases were searched from inception until November 2023 for studies reporting changes in systolic and diastolic BP (SBP, DBP) and HR and endothelial parameters before and after the use of EC+, EC- and TC. Data were analyzed using weighted mean differences (WMDs) and 95% confidence intervals (CIs).

RESULTS:

Fifteen studies (n = 752) were included in our meta-analysis. We demonstrate that EC+ significantly increased systolic BP (WMD = 3.41, 95% CI [0.1,6.73], p = 0.04], diastolic BP (WMD = 3.42, 95% CI [1.75, 5.09]; p < 0.01], and HR (WMD = 5.36 BPM, 95% CI [1.87, 8.85]; p < 0.01) compared to EC-. However, EC+ was observed to cause less detrimental effect on SBP (WMD = - 4.72 mmHg, 95% CI [- 6.58, - 2.86], p < 0.01), and HR (WMD = - 3.11 BPM, 95% CI [- 4.54, - 1.68]; p < 0.01) as compared to TC with no difference on DBP (WMD = - 1.14 mmHg, 95% CI [- 2.38, 0.1]; p = 0.07). EC+ also led to greater deterioration of endothelial parameters as compared to EC- but to a lesser degree as compared to TC.

CONCLUSION:

EC+ shows greater impairment in hemodynamic and endothelial parameters than EC- but less than TC. Additional studies are needed to evaluate prolonged effects of EC use.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Presión Sanguínea / Endotelio Vascular / Productos de Tabaco / Sistemas Electrónicos de Liberación de Nicotina / Vapeo / Frecuencia Cardíaca / Nicotina Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: High Blood Press Cardiovasc Prev Año: 2024 Tipo del documento: Article País de afiliación: Pakistán Pais de publicación: Nueva Zelanda
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Presión Sanguínea / Endotelio Vascular / Productos de Tabaco / Sistemas Electrónicos de Liberación de Nicotina / Vapeo / Frecuencia Cardíaca / Nicotina Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: High Blood Press Cardiovasc Prev Año: 2024 Tipo del documento: Article País de afiliación: Pakistán Pais de publicación: Nueva Zelanda