Impact of shisha smoking on the extent of coronary artery disease in patients referred for coronary angiography

To study the impact of shisha smoking on the extent of coronary artery disease. Patients who underwent coronary angiography were included in this observational cohort study and were divided to four groups according to the smoking pattern: shisha smokers, cigarettes smokers, mixed smokers (shisha and...

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Veröffentlicht in:Anadolu kardiyoloji dergisi : AKD 2013-11, Vol.13 (7), p.647-654
Hauptverfasser: Selim, Ghada M, Fouad, Hany, Ezzat, Samy
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container_title Anadolu kardiyoloji dergisi : AKD
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creator Selim, Ghada M
Fouad, Hany
Ezzat, Samy
description To study the impact of shisha smoking on the extent of coronary artery disease. Patients who underwent coronary angiography were included in this observational cohort study and were divided to four groups according to the smoking pattern: shisha smokers, cigarettes smokers, mixed smokers (shisha and cigarettes) and non-smokers. Coronary angiography was done and the severity of coronary artery disease was defined according to Duke Jeopardy Score (DJ). The study comprised of 287 consecutive patients; 22% were shisha smokers, 35% cigarette smokers, 5% mixed smokers and 38% non-smokers. Significant elevation of systolic blood pressure (p=0.009) and heart rate (p6) which was statistically significant (p=0.008) where shisha smokers showed significantly higher resting pulse (p
doi_str_mv 10.5152/akd.2013.191
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Patients who underwent coronary angiography were included in this observational cohort study and were divided to four groups according to the smoking pattern: shisha smokers, cigarettes smokers, mixed smokers (shisha and cigarettes) and non-smokers. Coronary angiography was done and the severity of coronary artery disease was defined according to Duke Jeopardy Score (DJ). The study comprised of 287 consecutive patients; 22% were shisha smokers, 35% cigarette smokers, 5% mixed smokers and 38% non-smokers. Significant elevation of systolic blood pressure (p=0.009) and heart rate (p&lt;0.001) were observed among mixed smokers followed by shisha smokers, cigarettes smokers and non-smokers respectively. The mean value of DJ score was highest among shisha smokers than mixed smokers, cigarettes smokers and non-smokers respectively (p=0.012). We also compared DJ score in shisha smokers with CAD vs non-shisha smokers with CAD and we found that 71.43% of shisha smokers had an advanced DJ score (&gt;6) which was statistically significant (p=0.008) where shisha smokers showed significantly higher resting pulse (p&lt;0.001) and systolic blood pressure (p=0.001) compared to non-shisha smokers and mean DJ score was significantly higher among shisha smokers (6.961±3.238) vs non-shisha smokers (5.762±3.062) (p=0.004). 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Patients who underwent coronary angiography were included in this observational cohort study and were divided to four groups according to the smoking pattern: shisha smokers, cigarettes smokers, mixed smokers (shisha and cigarettes) and non-smokers. Coronary angiography was done and the severity of coronary artery disease was defined according to Duke Jeopardy Score (DJ). The study comprised of 287 consecutive patients; 22% were shisha smokers, 35% cigarette smokers, 5% mixed smokers and 38% non-smokers. Significant elevation of systolic blood pressure (p=0.009) and heart rate (p&lt;0.001) were observed among mixed smokers followed by shisha smokers, cigarettes smokers and non-smokers respectively. The mean value of DJ score was highest among shisha smokers than mixed smokers, cigarettes smokers and non-smokers respectively (p=0.012). We also compared DJ score in shisha smokers with CAD vs non-shisha smokers with CAD and we found that 71.43% of shisha smokers had an advanced DJ score (&gt;6) which was statistically significant (p=0.008) where shisha smokers showed significantly higher resting pulse (p&lt;0.001) and systolic blood pressure (p=0.001) compared to non-shisha smokers and mean DJ score was significantly higher among shisha smokers (6.961±3.238) vs non-shisha smokers (5.762±3.062) (p=0.004). Shisha smoking is associated with severe coronary artery disease that calls for the need to enroll them in tobacco cessation courses.</description><subject>Adult</subject><subject>Cohort Studies</subject><subject>Coronary Angiography</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Prospective Studies</subject><subject>Severity of Illness Index</subject><subject>Smoking - adverse effects</subject><subject>Surveys and Questionnaires</subject><subject>Tobacco Products</subject><issn>1302-8723</issn><issn>1308-0032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkD1PwzAQhi0EoqWwMSOPDKT4I3GcEVV8VKrEArN1cezWtImDnUr03-O2gJjOOj93uvdB6JqSaUELdg_rZsoI5VNa0RM0ppzIjBDOTg9vlsmS8RG6iPGDkKIUZX6ORoxXlZCEjpGftz3oAXuL48rFFeDY-rXrlth3eFgZbL4G0x3-tQ--g7DDEAaTSuOigWiw63APg0tUxMFYE4JpsPXh30C3dH4ZoF_tLtGZhU00Vz91gt6fHt9mL9ni9Xk-e1hkmjE6ZJY1ICmIWkKlS16XhBe2LkSltSiMTLkkLSWI1LesIjWta9KwvJTappQ58Am6Pe7tg__cmjio1kVtNhvojN9GRXNBeZ7LQiT07ojq4GNMCVQfXJvuVpSovWKVFKu9YpUUJ_zmZ_O2bk3zB_865d-KQHhR</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Selim, Ghada M</creator><creator>Fouad, Hany</creator><creator>Ezzat, Samy</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20131101</creationdate><title>Impact of shisha smoking on the extent of coronary artery disease in patients referred for coronary angiography</title><author>Selim, Ghada M ; Fouad, Hany ; Ezzat, Samy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c221t-f2da81a6b8a9c73b7035fb569cc65e83028178a6703f290b1bb0d2478cf0054a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Cohort Studies</topic><topic>Coronary Angiography</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Prospective Studies</topic><topic>Severity of Illness Index</topic><topic>Smoking - adverse effects</topic><topic>Surveys and Questionnaires</topic><topic>Tobacco Products</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Selim, Ghada M</creatorcontrib><creatorcontrib>Fouad, Hany</creatorcontrib><creatorcontrib>Ezzat, Samy</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Anadolu kardiyoloji dergisi : AKD</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Selim, Ghada M</au><au>Fouad, Hany</au><au>Ezzat, Samy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of shisha smoking on the extent of coronary artery disease in patients referred for coronary angiography</atitle><jtitle>Anadolu kardiyoloji dergisi : AKD</jtitle><addtitle>Anadolu Kardiyol Derg</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>13</volume><issue>7</issue><spage>647</spage><epage>654</epage><pages>647-654</pages><issn>1302-8723</issn><eissn>1308-0032</eissn><abstract>To study the impact of shisha smoking on the extent of coronary artery disease. Patients who underwent coronary angiography were included in this observational cohort study and were divided to four groups according to the smoking pattern: shisha smokers, cigarettes smokers, mixed smokers (shisha and cigarettes) and non-smokers. Coronary angiography was done and the severity of coronary artery disease was defined according to Duke Jeopardy Score (DJ). The study comprised of 287 consecutive patients; 22% were shisha smokers, 35% cigarette smokers, 5% mixed smokers and 38% non-smokers. Significant elevation of systolic blood pressure (p=0.009) and heart rate (p&lt;0.001) were observed among mixed smokers followed by shisha smokers, cigarettes smokers and non-smokers respectively. The mean value of DJ score was highest among shisha smokers than mixed smokers, cigarettes smokers and non-smokers respectively (p=0.012). We also compared DJ score in shisha smokers with CAD vs non-shisha smokers with CAD and we found that 71.43% of shisha smokers had an advanced DJ score (&gt;6) which was statistically significant (p=0.008) where shisha smokers showed significantly higher resting pulse (p&lt;0.001) and systolic blood pressure (p=0.001) compared to non-shisha smokers and mean DJ score was significantly higher among shisha smokers (6.961±3.238) vs non-shisha smokers (5.762±3.062) (p=0.004). Shisha smoking is associated with severe coronary artery disease that calls for the need to enroll them in tobacco cessation courses.</abstract><cop>Turkey</cop><pmid>23996801</pmid><doi>10.5152/akd.2013.191</doi><tpages>8</tpages></addata></record>
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subjects Adult
Cohort Studies
Coronary Angiography
Coronary Artery Disease - diagnostic imaging
Female
Humans
Male
Prospective Studies
Severity of Illness Index
Smoking - adverse effects
Surveys and Questionnaires
Tobacco Products
title Impact of shisha smoking on the extent of coronary artery disease in patients referred for coronary angiography
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