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成人使用电子烟与心血管结局的关联。

Cardiovascular Outcomes Associated With Adult Electronic Cigarette Use.

作者信息

Vindhyal Mohinder R, Okut Hayrettin, Ablah Elizabeth, Ndunda Paul M, Kallail K James, Choi Won S

机构信息

Internal Medicine, University of Kansas School of Medicine-Wichita, Wichita, USA.

Population Health, University of Kansas School of Medicine-Wichita, Wichita, USA.

出版信息

Cureus. 2020 Aug 8;12(8):e9618. doi: 10.7759/cureus.9618.

Abstract

Electronic cigarettes (E-Cigs) have been advertised as a safer alternative to smoking. However, E-Cigs use, like smoking, delivers ultra-small aerosol particles, which may be associated with cardiovascular disease. This study aimed to look into the association between E-Cigs use and cardiovascular disease outcomes. The study involved self-reported data from 16,855 participants from the National Health Interview Survey data from years 2014, 2016, 2017, and 2018. Results from the logistic regression analysis report E-Cigs users had higher odds of having myocardial infarction (OR 4.09, 95% CI [1.29, 12.98], P<0.05) when compared to non-users. Dual users had higher odds of myocardial infarction (OR 5.44, 95% CI [2.90, 10.22], P<0.05), stroke (OR 2.32, 95% CI [1.44, 3.74], P<0.05), and coronary artery disease (OR 2.27, 95% CI [1.37, 2.44], P<0.05) when compared to non-users.

摘要

电子烟已被宣传为比吸烟更安全的替代品。然而,使用电子烟与吸烟一样,会释放超小微粒气溶胶,这可能与心血管疾病有关。本研究旨在探究使用电子烟与心血管疾病结局之间的关联。该研究涉及来自2014年、2016年、2017年和2018年美国国家健康访谈调查的16855名参与者的自我报告数据。逻辑回归分析结果显示,与不使用电子烟的人相比,使用电子烟的人患心肌梗死的几率更高(比值比4.09,95%置信区间[1.29, 12.98],P<0.05)。与不使用电子烟的人相比,同时使用电子烟和传统香烟的人患心肌梗死(比值比5.44,95%置信区间[2.90, 10.22],P<0.05)、中风(比值比2.32,95%置信区间[1.44, 3.74],P<0.05)和冠状动脉疾病(比值比2.27,95%置信区间[1.37, 2.44],P<0.05)的几率更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b0a/7478662/15d52a8f1c93/cureus-0012-00000009618-i01.jpg

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