Correlation of electronic cigarette use with changes in blood pressure and heart rate- metanalysis

Postgraduate Thesis uoadl:2886999 231 Read counter

Unit:
Κατεύθυνση Επεμβατική Καρδιολογία
Library of the School of Health Sciences
Deposit date:
2019-12-06
Year:
2019
Author:
Skotsimara Georgia
Supervisors info:
Βλαχόπουλος Χαράλαμπος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπων
Τούσουλης Δημήτριος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Κυρίτση Ελένη, Ομότιμη Καθηγήτρια, Τμήμα Νοσηλευτικής, ΤΕΙ Αθήνας
Original Title:
Συσχέτιση της χρήσης ηλεκτρονικού τσιγάρου με μεταβολές στην αρτηριακή πίεση και στην καρδιακή συχνότητα- μεταανάλυση
Languages:
Greek
Translated title:
Correlation of electronic cigarette use with changes in blood pressure and heart rate- metanalysis
Summary:
Introduction: The electronic cigarette is marketed as a safe alternative to tobacco smoking, but electronic cigarette cardiovascular effects remain largely unknown. Current bibliography concerning the effect of electronic cigarette use in blood pressure and heart rate is inconclusive.
Aim: This study is a meta-analysis of published literature to investigate the effect of electronic cigarette use in blood pressure and heart rate.
Results: The meta-analysis of 14 studies (N= 441 participants) suggested negative acute effects of the electronic cigarette on heart rate (pooled mean difference (MD) = 2.27, 95% confidence interval (CI): 1.64 to 2.89, p < 0.001), diastolic (pooled MD= 2.01 mmHg, 95% CI: 0.62 to 3.39, p= 0.004) and systolic blood pressure (pooled MD= 2.02 mmHg, 95% CI: 0.07 to 3.97, p=0.042). On the other hand, benefits may be observed in terms of blood pressure regulation when switching from tobacco smoking to chronic electronic cigarette use (systolic blood pressure pooled MD= -7.00, 95% CI: -9.63 to -4.37, p< 0.001; diastolic blood pressure pooled MD= -3.65, 95% CI: -5.71 to -1.59, p= 0.001).
Conclusions: The existing evidence on the cardiovascular effects of the electronic cigarette is concerning, with several unexplored issues. This study demonstrates the relation between electronic cigarette use and acute increase in heart rate and blood pressure. Nevertheless, switching from smoking to chronic electronic cigarette use could be beneficial for blood pressure. Future studies should delineate whether electronic cigarette use is less hazardous to cardiovascular health than conventional cigarette smoking.
Main subject category:
Health Sciences
Keywords:
Electronic cigarette, Blood pressure, Heart rate, Cardiovascular system
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
105
Number of pages:
76
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