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Link between electronic cigarette use and myocardial infarction

Daily e-cigarette use is linked to increased odds of myocardial infarction. Dual use of e-cigarettes and conventional cigarettes – the most common use pattern among e-cigarette users – is more dangerous than using either product alone, US researchers have found.

The researchers wrote in an American Journal of Preventive Medicine article that based on their findings, recreational use of e-cigarettes or use of e-cigarettes for smoking cessation should not be recommended.

The authors from George Washington University and the University of California, San Fransisco,are: Talal Alzahrani, Ivan Pena,Nardos Temesgen and Stanton A Glantz.

Abstract

Electronic cigarettes (e-cigarettes) are promoted as a less risky alternative to conventional cigarettes and have grown in popularity. Experimental and clinical evidence suggests that they could increase the risk of myocardial infarction.

Methods

The National Health Interview Surveys of 2014 (n=36,697) and 2016 (n=33,028) were used to examine the cross-sectional association between e-cigarette use (never, former, some days, daily) and cigarette smoking (same categories) and myocardial infarction in a single logistic regression model that also included demographics (age, gender, BMI) and health characteristics (hypertension, diabetes, and hypercholesterolemia) using logistic regression. Data were collected in 2014 and 2016 and analyzed in 2017 and 2018.

Results

Daily e-cigarette use was independently associated with increased odds of having had a myocardial infarction (OR=1.79, 95% CI=1.20, 2.66, p=0.004) as was daily conventional cigarette smoking (OR=2.72, 95% CI=2.29, 3.24, p<0.001).

Former and some day e-cigarette use were not significantly associated with having had a myocardial infarction (p=0.608 and p=0.392) whereas former (OR=1.70, p<0.001) and some day cigarette smoking (OR=2.36, p<0.001) were.

Odds of a myocardial infarction were also increased with history of hypertension (OR=2.32, p<0.001); high cholesterol (OR=2.36, p<0.001); and diabetes (OR=1.77, p<0.001); and age (OR=1.65 per 10 years, p<0.001). Women (OR=0.47, p<0.001) had lower odds of myocardial infarction.

Conclusions

Daily e-cigarette use, adjusted for smoking conventional cigarettes as well as other risk factors, is associated with increased risk of myocardial infarction.

[link url="https://www.ajpmonline.org/article/S0749-3797(18)31871-3/fulltext"]Full article on Association Between Electronic Cigarette Use and Myocardial Infarction[/link]

 

 

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