经常使用电子烟的年轻人过早出现血管功能障碍的证据以及使用时长的影响。

IF 9.2 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE Angiogenesis Pub Date : 2024-02-12 DOI:10.1007/s10456-023-09903-7
Chloe Matheson, Tijana Simovic, Allison Heefner, Marisa Colon, Enrique Tunon, Kolton Cobb, Christopher Thode, Alison Breland, Caroline O. Cobb, Patrick Nana-Sinkam, Ryan Garten, Paula Rodriguez-Miguelez
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引用次数: 0

摘要

背景:电子香烟是美国市场上日益流行的烟草产品。众所周知,传统烟草产品会导致血管功能障碍,而血管功能障碍是心血管疾病(CVD)发生的最早指标之一。然而,人们对经常使用电子烟对血管功能的影响知之甚少。本研究的目的是调查定期使用电子烟对年轻、健康成年人的血管功能和心血管健康的影响:这项研究由 21 名电子烟经常使用者(ECU)和 21 名人口统计学匹配的非使用者(NU)完成。通过不同的反应测试评估整体功能、内皮依赖性血管舒张(EDD)和内皮非依赖性血管舒张(EID),从而评估皮肤微循环的血管健康状况。大血管功能通过血流介导的扩张(FMD)进行评估:结果:我们的研究结果表明,与不使用电子烟的人相比,经常使用电子烟的人过早出现微血管损伤。具体来说,他们表现出较低的充血(p = 0.003)、热(p = 0.010)和 EDD(p = 0.004)反应。各组之间的 EID 没有差异。我们还发现,使用电子烟超过 3 年的人还会出现全身性表现,大血管(p = 0.002)和微血管(p ≤ 0.044)功能明显降低:我们的新数据表明,与不使用电子烟的人相比,年轻、表面健康、经常使用电子烟的人过早出现微循环血管功能障碍。在使用电子烟超过 3 年的年轻人中,我们还发现了影响微血管和大血管的全身性血管功能障碍。综上所述,这些发现表明,经常使用电子烟与过早出现血管功能障碍和不良心血管后果有关。
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Evidence of premature vascular dysfunction in young adults who regularly use e-cigarettes and the impact of usage length

Background

Electronic (e-) cigarettes are increasingly popular tobacco products on the US market. Traditional tobacco products are known to cause vascular dysfunction, one of the earliest indicators of cardiovascular disease (CVD) development. However, little is known about the effect of regular e-cigarette use on vascular function. The purpose of this study was to investigate the impact of regular e-cigarette use on vascular function and cardiovascular health in young, healthy adults.

Methods

Twenty-one regular users of e-cigarettes (ECU) and twenty-one demographically matched non-users (NU) completed this study. Vascular health was assessed in the cutaneous microcirculation through different reactivity tests to evaluate overall functionality, endothelium-dependent vasodilation (EDD), and endothelium-independent vasodilation (EID). Macrovascular function was assessed using flow-mediated dilation (FMD).

Results

Our results suggest that regular users of e-cigarettes present with premature microvascular impairment when compared to non-users. Specifically, they exhibit lower hyperemic (p = 0.003), thermal (p = 0.010), and EDD (p = 0.004) responses. No differences in EID between the groups were identified. We also identified that individuals who use e-cigarettes for longer than 3 years also present with systemic manifestations, as observed by significantly reduced macrovascular (p = 0.002) and microvascular (p ≤ 0.044) function.

Conclusions

Our novel data suggests that young, apparently healthy, regular users of e-cigarettes present with premature vascular dysfunction in the microcirculation when compared to non-users. We have also identified systemic vascular dysfunction affecting both the micro and macrovasculature in those young individuals who used e-cigarettes for longer than 3 years. Taken together, these findings associate regular e-cigarette use with premature vascular dysfunctions and adverse cardiovascular outcomes.

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来源期刊
Angiogenesis
Angiogenesis PERIPHERAL VASCULAR DISEASE-
CiteScore
21.90
自引率
8.20%
发文量
37
审稿时长
6-12 weeks
期刊介绍: Angiogenesis, a renowned international journal, seeks to publish high-quality original articles and reviews on the cellular and molecular mechanisms governing angiogenesis in both normal and pathological conditions. By serving as a primary platform for swift communication within the field of angiogenesis research, this multidisciplinary journal showcases pioneering experimental studies utilizing molecular techniques, in vitro methods, animal models, and clinical investigations into angiogenic diseases. Furthermore, Angiogenesis sheds light on cutting-edge therapeutic strategies for promoting or inhibiting angiogenesis, while also highlighting fresh markers and techniques for disease diagnosis and prognosis.
期刊最新文献
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