Blood Pressure Control in Smokers with Arterial Hypertension Who Switched to Electronic Cigarettes
| Autor: | Claudio Ciampi, Pasquale Caponnetto, Riccardo Polosa, Bruno Cm, George L. Adams, Cristina Russo, Eliana Battaglia, Jaymin B. Morjaria |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Blood pressure control
Male medicine.medical_specialty hypertension Health Toxicology and Mutagenesis medicine.medical_treatment Diastole lcsh:Medicine 030204 cardiovascular system & hematology Electronic Nicotine Delivery Systems Article law.invention Nicotine 03 medical and health sciences 0302 clinical medicine law Internal medicine medicine Humans 030212 general & internal medicine Tobacco harm reduction smoking cessation electronic cigarette blood pressure tobacco harm reduction business.industry Smoking lcsh:R Public Health Environmental and Occupational Health Middle Aged medicine.disease Blood pressure Cardiology Smoking cessation Female Medical emergency medicine.symptom business Weight gain Electronic cigarette medicine.drug |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 13, Iss 11, p 1123 (2016) International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health; Volume 13; Issue 11; Pages: 1123 |
| ISSN: | 1660-4601 |
| Popis: | Electronic cigarettes (ECs) are battery-operated devices designed to vaporise nicotine, which may help smokers with quitting or reducing their tobacco consumption. No data is available regarding the health effects of ECs use among smokers with arterial hypertension and whether regular use results in blood pressure (BP) changes. We investigated long-term changes in resting BP and level of BP control in hypertensive smokers who quit or reduced substantially their tobacco consumption by switching to ECs. A medical records review of patients with hypertension was conducted to identify patients reporting regular daily use of ECs on at least two consecutive follow-up visits. Regularly smoking hypertensive patients were included as a reference group. A marked reduction in cigarette consumption was observed in ECs users (n = 43) though consumption remained unchanged in the control group (n = 46). Compared to baseline, at 12 months (follow-up visit 2) decline in cigarette consumption was associated with significant reductions in median (25th-, 75th-centile) systolic BP (140 (134.5, 144) to 130 (123.5, 138.5) mmHg; p < 0.001) and diastolic BP (86 (78, 90) to 80 (74.5, 90) mmHg; p = 0.006). No significant changes were observed in the control group. As expected, decline in cigarette consumption in the ECs users was also associated with improved BP control. The study concludes that regular ECs use may aid smokers with arterial hypertension reduce or abstain from cigarette smoking, with only trivial post-cessation weight gain. This resulted in improvements in systolic and diastolic BP as well as better BP control. |
| Databáze: | OpenAIRE |
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