Leone A, Guidi A, Bertoncini G, Battaglia A
Department of Medicine, City Hospital Pontremoli, Italy.
Singapore Med J. 2000 Mar;41(3):104-6.
The purpose of this study is to assess the effects of intravenous atropine on blood pressure (BP), systolic BP (SBP) and diastolic BP (DBP), after exposure of healthy volunteers to environmental cigarette smoking.
Seventeen non-smoking healthy volunteers (11 men and six women), aged from 20 years to 50 years (mean age: 31.3 +/- 8.7), were studied. These subjects received atropine under two conditions: first, in a 60 cubic metres of indoor space unpolluted by cigarette smoke; and second, in the same environment but polluted by 35 ppm carbon monoxide concentration reached by cigarette combustion. BP of each subject was recorded every 15 minutes for two hours by using an Ambulatory Blood Pressure Recorder BR 102.
Mean baseline BPs in a smoke-free environment and in a smoking environment were respectively 120 +/- 18 mmHg and 120 +/- 25 mmHg for systolic values, and 81 +/- 6 mmHg and 84 +/- 9 mmHg for diastolic values (P > 0.05). After administration of atropine, mean BPs were respectively 126 (+/- 24)/80(+/- 7) mmHg in a smoke-free environment, and 131 (+/- 14)/ 90(+/- 2) mmHg after exposure to passive smoking (P > 0.05, no statistical significance).
Our observations showed that BP varied but without statistically significant changes after acute exposure to passive smoking. However, it is known that any increase in BP leads to higher cardiovascular risks.
本研究旨在评估健康志愿者暴露于环境烟草烟雾后静脉注射阿托品对血压(BP)、收缩压(SBP)和舒张压(DBP)的影响。
对17名年龄在20岁至50岁(平均年龄:31.3±8.7)的非吸烟健康志愿者(11名男性和6名女性)进行了研究。这些受试者在两种条件下接受阿托品:第一,在60立方米未受香烟烟雾污染的室内空间;第二,在相同环境但被香烟燃烧达到的35 ppm一氧化碳浓度污染的环境。使用动态血压记录仪BR 102,每15分钟记录每位受试者的血压,持续两小时。
在无烟环境和吸烟环境中的平均基线收缩压分别为120±18 mmHg和120±25 mmHg,舒张压分别为81±6 mmHg和84±9 mmHg(P>0.05)。注射阿托品后,在无烟环境中的平均血压分别为126(±24)/80(±7)mmHg,被动吸烟后的平均血压为131(±14)/90(±2)mmHg(P>0.05,无统计学意义)。
我们的观察结果表明,急性暴露于被动吸烟后血压有所变化,但无统计学意义。然而,众所周知,任何血压升高都会导致更高的心血管风险。