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Blood Pressure Control in Smokers with Arterial Hypertension Who Switched to Electronic Cigarettes

机译:切换至电子烟的患有动脉高血压的吸烟者的血压控制

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摘要

Electronic cigarettes (ECs) are battery-operated devices designed to vaporise nicotine, which may help smokers with quitting or reducing their tobacco consumption. No data is available regarding the health effects of ECs use among smokers with arterial hypertension and whether regular use results in blood pressure (BP) changes. We investigated long-term changes in resting BP and level of BP control in hypertensive smokers who quit or reduced substantially their tobacco consumption by switching to ECs. A medical records review of patients with hypertension was conducted to identify patients reporting regular daily use of ECs on at least two consecutive follow-up visits. Regularly smoking hypertensive patients were included as a reference group. A marked reduction in cigarette consumption was observed in ECs users (n = 43) though consumption remained unchanged in the control group (n = 46). Compared to baseline, at 12 months (follow-up visit 2) decline in cigarette consumption was associated with significant reductions in median (25th-, 75th-centile) systolic BP (140 (134.5, 144) to 130 (123.5, 138.5) mmHg; p < 0.001) and diastolic BP (86 (78, 90) to 80 (74.5, 90) mmHg; p = 0.006). No significant changes were observed in the control group. As expected, decline in cigarette consumption in the ECs users was also associated with improved BP control. The study concludes that regular ECs use may aid smokers with arterial hypertension reduce or abstain from cigarette smoking, with only trivial post-cessation weight gain. This resulted in improvements in systolic and diastolic BP as well as better BP control.
机译:电子烟(EC)是一种电池供电的设备,旨在使尼古丁汽化,这可以帮助吸烟者戒烟或减少其烟草消费。目前尚无关于使用ECs对患有高血压的吸烟者的健康影响以及是否经常使用会导致血压(BP)变化的数据。我们调查了戒烟者的长期血压变化和血压控制水平的长期变化,他们通过改用EC戒烟或大量减少了烟草消费。进行了高血压患者的病历审查,以识别至少连续两次随访就诊每日定期使用EC的患者。定期吸烟的高血压患者被纳入参考组。尽管对照组的吸烟量保持不变(n = 46),但在EC使用者中观察到卷烟消耗量显着减少(n = 43)。与基线相比,在第12个月(随访2次),卷烟消费量的减少与收缩压的中位数(第25、75个百分点,第75、75个百分点)的显着降低有关(140(134.5,144)至130(123.5,138.5)mmHg) ; p <0.001)和舒张压BP(86(78,90)至80(74.5,90)mmHg; p = 0.006)。在对照组中没有观察到明显的变化。不出所料,EC使用者的卷烟消费量下降也与血压控制得到改善有关。该研究得出的结论是,定期使用EC可以帮助患有动脉高血压的吸烟者减少或戒烟,而戒烟后的体重只会微不足道。这导致收缩压和舒张压的改善以及更好的血压控制。

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