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电子烟与动脉健康:关于吸电子烟与动脉粥样硬化进展之间联系的综述

E-cigarettes and arterial health: A review of the link between vaping and atherosclerosis progression.

作者信息

Hassan Muhammad, Vinagolu-Baur Julia, Li Vivian, Frasier Kelly, Herrick Grace, Scotto Tiffany, Rankin Erica

机构信息

Department of Medicine, Nuvance Health, Vassar Brothers Medical Center, Poughkeepsie, NY 12601, United States.

Department of Medical Education, State University of New York, Upstate Medical University, Syracuse, NY 13210, United States.

出版信息

World J Cardiol. 2024 Dec 26;16(12):707-719. doi: 10.4330/wjc.v16.i12.707.

DOI:10.4330/wjc.v16.i12.707
PMID:39734821
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11669975/
Abstract

Recent studies have suggested an evolving understanding of the association between vaping, specifically electronic cigarette (e-cigarette) use, and the progression of atherosclerosis, a significant contributor to cardiovascular disease. Despite the prevailing perception of vaping as a safer alternative to traditional tobacco smoking, accumulating evidence suggests that the aerosols emitted by e-cigarettes contain harmful constituents that may promote endothelial dysfunction, oxidative stress, inflammation, and dyslipidemia-key mechanisms implicated in atherosclerosis pathogenesis. While past research, including experimental studies and clinical investigations, has shed light on the potential cardiovascular risks associated with vaping, gaps in knowledge persist. Future research endeavors should focus on interpreting the long-term effects of vaping on atherosclerosis development and progression, exploring the impact of different e-cigarette formulations and user demographics, and identifying effective strategies for mitigating the cardiovascular consequences of vaping. By identifying and addressing these research gaps, we can enhance our understanding of the cardiovascular implications of vaping and inform evidence-based interventions and policies to safeguard public health.

摘要

最近的研究表明,人们对电子烟(尤其是使用电子烟)与动脉粥样硬化进展之间的关联的理解正在不断演变,动脉粥样硬化是心血管疾病的一个重要成因。尽管目前普遍认为电子烟是比传统吸烟更安全的替代品,但越来越多的证据表明,电子烟产生的气溶胶含有有害成分,可能会促进内皮功能障碍、氧化应激、炎症和血脂异常,这些都是动脉粥样硬化发病机制中的关键机制。虽然过去的研究,包括实验研究和临床调查,已经揭示了与使用电子烟相关的潜在心血管风险,但知识空白仍然存在。未来的研究应致力于解读使用电子烟对动脉粥样硬化发展和进展的长期影响,探索不同电子烟配方和用户特征的影响,并确定减轻使用电子烟对心血管影响的有效策略。通过识别和填补这些研究空白,我们可以加深对使用电子烟对心血管影响的理解,并为基于证据的干预措施和政策提供信息,以保障公众健康。

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本文引用的文献

1
Interventions for Preventing E-Cigarette Use Among Children and Youth: A Systematic Review.干预措施预防儿童和青少年使用电子烟:系统评价。
Am J Prev Med. 2024 Feb;66(2):351-370. doi: 10.1016/j.amepre.2023.09.028. Epub 2023 Oct 5.
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Chronic Electronic Cigarette Use and Atherosclerosis Risk in Young People: A Cross-Sectional Study-Brief Report.慢性电子烟使用与年轻人动脉粥样硬化风险:一项横断面研究——简短报告。
Arterioscler Thromb Vasc Biol. 2023 Sep;43(9):1713-1718. doi: 10.1161/ATVBAHA.123.319172. Epub 2023 Jul 6.
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Diverse e-cigarette regulations in the Asia Pacific: A health economic perspective.亚太地区多样化的电子烟法规:健康经济学视角
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A Systematic Review of the Effects of Smoking on the Cardiovascular System and General Health.吸烟对心血管系统及总体健康影响的系统评价
Cureus. 2023 Apr 24;15(4):e38073. doi: 10.7759/cureus.38073. eCollection 2023 Apr.
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A Review of Toxicity Mechanism Studies of Electronic Cigarettes on Respiratory System.电子烟呼吸系统毒性机制研究综述。
Int J Mol Sci. 2022 May 1;23(9):5030. doi: 10.3390/ijms23095030.
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Electronic Cigarette Use and the Risk of Cardiovascular Diseases.电子烟使用与心血管疾病风险
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E-Cigarette Toxicology.电子烟毒理学。
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Explosions, Burn Injuries and Adverse Health Effects of Electronic Nicotine Delivery Systems: A Review of Current Regulations and Future Perspectives.电子尼古丁传送系统的爆炸、烧伤及不良健康影响:现行法规与未来展望综述
J Pharm Pharm Sci. 2021;24:462-474. doi: 10.18433/jpps32242.
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Biomarkers of Inflammation and Oxidative Stress among Adult Former Smoker, Current E-Cigarette Users-Results from Wave 1 PATH Study.成年前吸烟者、当前电子烟使用者中炎症和氧化应激的生物标志物——来自 PATH 研究第 1 波的结果
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Lipid profiles in users of combustible and electronic cigarettes.可燃电子烟和电子香烟使用者的脂质谱。
Vasc Med. 2021 Oct;26(5):483-488. doi: 10.1177/1358863X211009313. Epub 2021 May 20.