ISSN 2149-2263 | E-ISSN 2149-2271 Home      
 
Volume : 22 Issue : 6
Current Issue Archive Popular Article Ahead of Print

   
Quick Search





 
Impact of shisha smoking on the extent of coronary artery disease in patients referred for coronary angiography [Anatol J Cardiol]
Anatol J Cardiol. 2013; 13(7): 647-654 | DOI: 10.5152/akd.2013.191  

Impact of shisha smoking on the extent of coronary artery disease in patients referred for coronary angiography

Ghada M. Selim1, Hany Fouad1, Samy Ezzat1
Department of Cardiology, Faculty of Medicine, Ain Shams University, Cairo-Egypt

Objective: To study the impact of shisha smoking on the extent of coronary artery disease. Methods: Patients who underwent coronary angiography were included in this observational cohort study and were divided to four groups according to the smoking pattern: shisha smokers, cigarettes smokers, mixed smokers (shisha and cigarettes) and non-smokers. Coronary angiography was done and the severity of coronary artery disease was defined according to Duke Jeopardy Score (DJ). Results: The study comprised of 287 consecutive patients; 22% were shisha smokers, 35% cigarette smokers, 5% mixed smokers and 38% non-smokers. Significant elevation of systolic blood pressure (p=0.009) and heart rate (p<0.001) were observed among mixed smokers followed by shisha smokers, cigarettes smokers and non-smokers respectively. The mean value of DJ score was highest among shisha smokers than mixed smokers, cigarettes smokers and non-smokers respectively (p=0.012). We also compared DJ score in shisha smokers with CAD vs nonshisha smokers with CAD and we found that 71.43% of shisha smokers had an advanced DJ score (>6) which was statistically significant (p=0.008) where shisha smokers showed significantly higher resting pulse (p<0.001) and systolic blood pressure (p=0.001) compared to nonshisha smokers and mean DJ score was significantly higher among shisha smokers (6.9613.238) vs non-shisha smokers (5.7623.062) (p=0.004). Conclusion: Shisha smoking is associated with severe coronary artery disease that calls for the need to enroll them in tobacco cessation courses.

Keywords: Coronary artery disease, shisha smoking, Duke Jeopardy score


Ghada M. Selim, Hany Fouad, Samy Ezzat. Impact of shisha smoking on the extent of coronary artery disease in patients referred for coronary angiography. Anatol J Cardiol. 2013; 13(7): 647-654


TOOLS
Full Text PDF
Print
Download citation
RIS
EndNote
BibTex
Medlars
Procite
Reference Manager
Share with email
Share


Similar articles
PubMed
Google Scholar




 
 
KARE Publishing | Copyright 2018 Turkish Society of Cardiology