Effects of Smoking Cessation with Nicotine Replacement Therapy on Vascular Endothelial Function, Arterial Stiffness, and Inflammation Response in Healthy Smokers
| Autor: | A Lian Zhang, Chao Xue, Chang Qian Wang, Ling Bian, Zuo Jun Xu, Yu Shui Xie, Qi Zhi Chen, Hui Li Zhang, Zhao Fang Yin, Run Du |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Hyperemia Inflammation 030204 cardiovascular system & hematology Systemic inflammation Nicotine Young Adult 03 medical and health sciences Vascular Stiffness 0302 clinical medicine Internal medicine medicine Humans 030212 general & internal medicine Pulse wave velocity Aged Smokers business.industry Arteries Middle Aged medicine.disease Nicotine replacement therapy Tobacco Use Cessation Devices Cardiology Arterial stiffness Smoking cessation Female Smoking Cessation Endothelium Vascular medicine.symptom Cardiology and Cardiovascular Medicine Vascular function business medicine.drug |
| Zdroj: | Angiology. 70:719-725 |
| ISSN: | 1940-1574 0003-3197 |
| Popis: | The effects of nicotine replacement therapy (NRT)-aided smoking cessation on vascular function are not fully clarified. We investigated 100 healthy smokers who were motivated to quit and received NRT for a 3-month period. Vascular endothelial function (measured by reactive hyperemia-peripheral arterial tonometry [RH-PAT]), arterial stiffness (measured by augmentation index [AI] and brachial-ankle pulse wave velocity [baPWV]), and systemic inflammation markers (including serum soluble intercellular adhesion molecule-1 [sICAM-1] and interleukin-1β [IL-1β]) were assessed at baseline and 3 and 12 months of follow-up. After 3 months of intervention, endothelial function, arterial stiffness, and inflammatory markers significantly improved (RH-PAT increased, AI and baPWV decreased, sICAM-1 and IL-1β decreased, all P < .05) for the participants who abstained from smoking completely, but for those who did not abstained completely, RH-PAT, AI, baPWV, and IL-1β remained unchanged. At 12 months follow-up, endothelial function (RH-PAT), arterial stiffness (AI and baPWV), and inflammatory markers (sICAM-1 and IL-1β) were further improved in participants who abstained from smoking ( P < .001), while the above parameters deteriorated in continued smokers ( P < .05). In conclusion, vascular dysfunction can be reversible after NRT-aided smoking cessation in healthy smokers and vascular function could be further damaged if they continue smoking. |
| Databáze: | OpenAIRE |
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