Cover image of the article: The acute effects of Water-pipe smoking on Ankle Brachial Index: A cross-sectional Study

Image Credit:Int J Cardiovasc Pract

The acute effects of Water-pipe smoking on Ankle Brachial Index: A cross-sectional Study

Authors

Zahra Hesami1, Hooman Sharif1, Neda Behzadnia1, Farah Naghashzadeh1, Gholam Reza Heydari1, Babak Sharif Kashani1,*, Payam Abbasi 2
1Tobacco Prevention and Control Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences ,Tehran, Iran
2Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
*Corresponding Author: Corresponding author:Tobacco Prevention and Control Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. Tel: +98- 9121793688, E-mail: Email: babaksharifkashani@yahoo.com

International Journal of Cardiovascular Practice:Vol. 4, issue 3; 81-84
Published online:Nov 09, 2019
Article type:Research Article
Received:Aug 10, 2019
Accepted:Sep 10, 2019
How to Cite:Hesami Z, Sharif H, Behzadnia N, Naghashzadeh F, Heydari GR, et al. The acute effects of Water-pipe smoking on Ankle Brachial Index: A cross-sectional Study. Int J Cardiovasc Pract. 2019;4(3):e130571. doi: https://doi.org/10.29252/ijcp-26695

Abstract

Introduction: Numerous studies have shown that waterpipe smokers as well as cigarette smokers are at increased risk of cardiovascular diseases. In this study we sought to evaluate the acute effects of waterpipe smoking (WPS) on ankle brachial index (ABI), an indicator of atherosclerosis and an independent predictor of mortality.

Methods: This prospective cross-sectional study was conducted in October 2017. Twenty nine healthy male volunteers who had a history of WPS were enrolled. Demographic data and cigarette and WPS status were recorded via self-reporting questionnaire. Resting heart rate and brachial systolic and diastolic blood pressures of participants were recorded first and ABI measurements were done. Then subjects smoked waterpipe for about 20 minutes and ABI was measured immediately after WPS.

Results: A total of 29 male adults with a mean age of 32 ± 9 years were included. The right-sided ABI was 1.05 ± 0.11 before WPS and significantly decreased to 0.98 ± 0.13 after WPS (P value = 0.006). The left-sided ABI before and after WPS were 1.09 ± 0.20 and 0.95 ± 0.18 respectively and the decrease was statistically significant (P value = 0.037). Vital signs before and after one session of WPS showed significant changes in heart rate (P < 0.001) and no significant changes in systolic and diastolic blood pressures (P = 0.09, and P = 0.14, respectively).

Conclusion: WPS has an acute effect on ABI as well as heart rate so it should be considered as a potential risk factor for cardiovascular diseases

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© 2019, International Journal of Cardiovascular Practice. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.

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