Effects of electronic cigarette on platelet and vascular function after four months of use

被引:25
作者
Ikonomidis, Ignatios [1 ,2 ]
Katogiannis, Konstantinos [1 ,2 ]
Kostelli, Gavriella [1 ,2 ]
Kourea, Kallirhoe [1 ,2 ]
Kyriakou, Elias [3 ,4 ]
Kypraiou, Athina [3 ,4 ]
Tsoumani, Maria [5 ]
Andreadou, Ioanna [5 ]
Lambadiari, Vaia [1 ,2 ]
Plotas, Panagiotis [1 ,2 ]
Thymis, Ioannis [1 ,2 ]
Tsantes, Argirios E. [3 ,4 ]
机构
[1] Natl & Kapodistrian Univ Athens, Attikon Univ Hosp, Med Sch, Cardiol Dept 2,Lab Prevent Cardiol, Athens, Greece
[2] Natl & Kapodistrian Univ Athens, Attikon Univ Hosp, Med Sch, Cardiol Dept 2,Smoking Cessat Clin, Athens, Greece
[3] Natl & Kapodistrian Univ Athens, Attikon Univ Hosp, Sch Med, Lab Haematol, Athens, Greece
[4] Natl & Kapodistrian Univ Athens, Attikon Univ Hosp, Sch Med, Blood Bank Unit, Athens, Greece
[5] Natl & Kapodistrian Univ Athens, Sch Pharm, Dept Pharmaceut Chem, Athens, Greece
关键词
Electronic cigarette; Platelets; Light transmission aggregometry; PFA-100; Pulse wave velocity; Oxidative stress; OXIDATIVE STRESS; ARTERIAL STIFFNESS; SMOKING; NICOTINE; MAINSTREAM; DISEASE;
D O I
10.1016/j.fct.2020.111389
中图分类号
TS2 [食品工业];
学科分类号
0832 ;
摘要
We examined the effects of electronic cigarette on platelet and vascular function after 4 months of use compared to tobacco smoking. Forty smokers without cardiovascular disease were randomized to smoke either conventional cigarettes or an electronic cigarette (nicotine concentration of 12 mg/ml). At baseline and after four months, we measured a) platelet function by Platelet Function Analyzer PFA-100 and Light Transmission Aggregometry, b) pulse wave velocity, c) plasma malondialdehyde levels as oxidative stress index and d) the exhaled CO level. After 4 months, continuation of conventional cigarette smoking further impaired platelet function compared to vaping as assessed by PFA (mean increase 27.1 vs 11.6 s, p for interaction = 0.048) and by LTA (decline 24.1 vs 9.4%, p for interaction = 0.045). Conversely, compared to smoking, vaping resulted in greater reduction of exhaled CO (6.9 ppm vs 2.6, p for interaction < 0.001), improvement of PWV (decrease of 0.8 m/s vs increase of 0.8 m/s, p for interaction = 0.020) and reduction of MDA (reduction 0.13 vs increase 0.19 nmol/L, p for interaction = 0.035). Switching to electronic cigarette for 4 months has a neutral effect on platelet function while it reduces arterial stiffness and oxidative stress compared to tobacco smoking.
引用
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页数:5
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