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[不同尼古丁浓度烟草烟雾吸入后的即时心血管效应]

[Cardiovascular effects immediate to the inhalation of tobacco smoke with different concentrations of nicotine].

作者信息

Canale J M, Aceves Tavares G R, Ramos Salas E

出版信息

Arch Inst Cardiol Mex. 1987 Jan-Feb;57(1):57-61.

PMID:2952091
Abstract

Fifteen healthy and non smoking men, age range 20 to 27 years (23.6 +/- 2.5 (SD) were subject of a double blind study designed to compare the immediate cardiovascular effects of smoking "regular" and "light" cigarettes (nicotine content: 1.1 mg and 0.6 mg, respectively). The measured cardiovascular parameters were: heart rate, blood pressure, echographic calculations of the left ventricle fractional shortening, amplitude of the posterior wall systolic movement and posterior wall contraction velocity, as well as QTc interval and T wave amplitude. All those measurements were obtained before and after smoking one or two other kind of cigarette. When the changes evoked by the regular cigarette were compared to the changes evoked by the light cigarette, no significant difference was detected. When analyzing the modifications that each kind of cigarette produced to its respective basal-control measurement the following observations were detected: heart rate increased after smoking both types of cigarette (p less than 0.001), blood pressure was raised only with regular cigarette (systolic, p less than 0.002; diastolic, p less than 0.005). QTc interval was prolonged (p less than 0.05) and T wave amplitude decreased (p less than 0.02) after regular and light cigarette. It is concluded that tobacco of regular and light cigarettes significantly and immediately affects diverse cardiovascular parameters, but there is no a clear or definite difference when the changes produced by the two types of cigarette are compared to each other, at least at the level of nicotine here utilized.

摘要

15名年龄在20至27岁(23.6±2.5(标准差))的健康非吸烟男性参与了一项双盲研究,该研究旨在比较吸“普通”香烟和“淡”香烟(尼古丁含量分别为1.1毫克和0.6毫克)对心血管的即时影响。所测量的心血管参数包括:心率、血压、左心室短轴缩短率的超声心动图计算值、后壁收缩期运动幅度和后壁收缩速度,以及QTc间期和T波幅度。所有这些测量均在吸一支或两支另一种香烟之前和之后进行。当将普通香烟引起的变化与淡香烟引起的变化进行比较时,未发现显著差异。在分析每种香烟对其各自基础对照测量值产生的变化时,观察到以下情况:吸两种香烟后心率均增加(p<0.001),仅吸普通香烟时血压升高(收缩压,p<0.002;舒张压,p<0.005)。吸普通香烟和淡香烟后QTc间期延长(p<0.05),T波幅度降低(p<0.02)。结论是,普通香烟和淡香烟中的烟草会显著且即时地影响多种心血管参数,但当比较两种香烟产生的变化时,至少在所使用的尼古丁水平上,没有明显或确切的差异。

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[Cardiovascular effects immediate to the inhalation of tobacco smoke with different concentrations of nicotine].[不同尼古丁浓度烟草烟雾吸入后的即时心血管效应]
Arch Inst Cardiol Mex. 1987 Jan-Feb;57(1):57-61.
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