Association of waterpipe smoking with myocardial infarction and determinants of metabolic syndrome among catheterized patients. (24th August 2017)

• Record Type: Journal Article
• Authors: Platt, Daniel E.; Hariri, Essa; Salameh, Pascale; Helou, Mariana; Sabbah, Nada; Merhi, Mahmoud; Chammas, Elie; Ammar, Walid; Abchee, Antoine B.; Zalloua, Pierre A.
• Is Part Of: Inhalation toxicology. Volume 29:Number 10(2017)
• Page Start: 429
• Page End: 434
• Publication Date: 2017-08-24
• Subjects: Myocardial infarction -- waterpipe smoking -- cigarette smoking -- coronary artery disease -- metabolic syndrome; Pulmonary toxicology -- Animal models -- Periodicals; Pulmonary toxicology -- Periodicals; Air -- Pollution -- Health aspects -- Periodicals; 616.200471
• DOI: 10.1080/08958378.2017.1384085
• Languages: English
• ISSNs: 0895-8378

Abstract

Abstract: Background: Waterpipe smoking is a rising global public health epidemic perceived by many users to be less harmful, though its toxicity overlaps or even exceeds that of cigarette smoking. Short-term cardiovascular changes due to waterpipe smoking are well established, but longer-term health impacts are still not fully elucidated. Objective: We aim to investigate the association of waterpipe smoking with myocardial infarction among patients undergoing cardiac catheterization. Methods: The study was performed on Lebanese patients referred for cardiac catheterization. Patient's blood was collected for metabolic measures and questionnaires were filled out to include socio-demographic, behavioral and pertinent medical characteristics of the study subjects. Results: Myocardial infarction is significantly and independently associated with waterpipe smoking, with odds ratio (OR) of 1.329 (95% CI: [1.04–1.68]; p = .021), which is lower than that for cigarette smoking (OR = 1.87, 95% CI: [1.63–2.15]; p < .001). Only diabetes showed significant association with waterpipe smoking among MI enrollees (OR = 1.66, 95%CI: [1.04–2.63]; p = .032). Conclusion: The study provides yet another evidence for the adverse cardiovascular effects of waterpipe smoking on a clinical level. The harmful effects of waterpipe smoking should be underscored by health care professionals.