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Lifetime cumulative exposure to waterpipe smoking is associated with coronary artery disease

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dc.contributor.author Sibai A.M.
dc.contributor.author Tohme R.A.
dc.contributor.author Almedawar M.M.
dc.contributor.author Itani T.
dc.contributor.author Yassine S.I.
dc.contributor.author Nohra E.A.
dc.contributor.author Isma'eel H.A.
dc.contributor.editor
dc.date 2014
dc.date.accessioned 2017-10-05T16:08:59Z
dc.date.available 2017-10-05T16:08:59Z
dc.date.issued 2014
dc.identifier 10.1016/j.atherosclerosis.2014.03.036
dc.identifier.isbn
dc.identifier.issn 00219150
dc.identifier.uri http://hdl.handle.net/10938/20168
dc.description.abstract Objective: Globally, waterpipe (WP) smoking is becoming a more prevalent form of tobacco consumption. Whilst research so far has demonstrated a significant link between WP use and a number of health outcomes, little is known of its association with heart disease. We examine in this study the association of WP smoking with angiographically confirmed coronary artery disease (CAD). Methods: A total of 1210 patients, aged 40 years and over and free from smoking-associated illnesses or history of cardiovascular procedures, admitted for coronary angiography at four major hospitals in Lebanon, were included. The extent of CAD was summarized in two ways, firstly as diseased (≥50percent and ≥70percent occlusion in at least one main coronary artery) versus non-diseased (entirely normal coronaries), and secondly, as CAD cumulative score based on Duke CAD Prognostic Index. A score of WP-years, capturing intensity and lifetime duration of exposure, was estimated for each individual. Results: Lifetime exposure exceeding 40 WP-years was associated with a threefold significant increase in the odds of having severe stenosis (≥70percent) compared to non-smokers (OR=2.94, 95percent CI 1.04-8.33) as well as with the CAD Index (β=7.835, p-value=0.027), net of the effect of socio-demographic characteristics, health behaviors and co-morbidity. A dose-response relationship between WP-years and percent stenosis was also established. WP smoking status (never, past and current) did not associate with CAD. Conclusions: Cumulative exposure to WP smoking is significantly associated with severe CAD. There is a need to monitor WP use among cardiac patients and include this information in their medical charts in the same manner cigarettes smoking is documented. This is likely to increase awareness of the hazards of WP smoking and prompt physicians to target WP tobacco control by providing advice to their patients on WP smoking cessation. © 2014 Elsevier Ireland Ltd.
dc.format.extent
dc.format.extent Pages: (454-460)
dc.language English
dc.publisher Elsevier Ireland Ltd; CLARE
dc.relation.ispartof Publication Name: Atherosclerosis; Publication Year: 2014; Volume: 234; no. 2; Pages: (454-460);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title Lifetime cumulative exposure to waterpipe smoking is associated with coronary artery disease
dc.type Article
dc.contributor.affiliation Sibai, A.M., Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
dc.contributor.affiliation Tohme, R.A., Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon, Centers for Disease Control and Prevention, Atlanta, GA 30333, United States
dc.contributor.affiliation Almedawar, M.M., Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon, Vascular Medicine Program, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Itani, T., Department of Public Health Medicine, School of Public Health, University of Bielefeld, Bielefeld, Germany
dc.contributor.affiliation Yassine, S.I., Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
dc.contributor.affiliation Nohra, E.A., Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Isma'eel, H.A., Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon, Vascular Medicine Program, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.authorAddress Isma'eel, H.A.; American University of Beirut Medical Center, Cairo Street, P.O.Box: 11-0236, Riad El Solh, Beirut 1107-2020, Lebanon; email: hi09@aub.edu.lb
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Vascular Medicine Program;
dc.contributor.authorDepartment Vascular Medicine Program
dc.contributor.authorDivision
dc.contributor.authorEmail hi09@aub.edu.lb
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Sibai, AM
dc.contributor.authorInitials Tohme, RA
dc.contributor.authorInitials Almedawar, MM
dc.contributor.authorInitials Itani, T
dc.contributor.authorInitials Yassine, SI
dc.contributor.authorInitials Nohra, EA
dc.contributor.authorInitials Isma'eel, HA
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Isma'eel, HA (reprint author), Amer Univ Beirut, Med Ctr, Cairo St,POB 11-0236, Beirut 11072020, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount
dc.description.citedTotWOSCount 3
dc.description.citedWOSCount 3
dc.format.extentCount 7
dc.identifier.articleNo
dc.identifier.coden ATHSB
dc.identifier.pubmedID
dc.identifier.scopusID 84900865683
dc.identifier.url
dc.publisher.address ELSEVIER HOUSE, BROOKVALE PLAZA, EAST PARK SHANNON, CO, CLARE, 00000, IRELAND
dc.relation.ispartofConference
dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
dc.relation.ispartofConferenceLoc
dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr Atherosclerosis
dc.relation.ispartOfIssue 2
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle Atherosclerosis
dc.relation.ispartofPubTitleAbbr Atherosclerosis
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 234
dc.source.ID WOS:000336439000032
dc.type.publication Journal
dc.subject.otherAuthKeyword Case-control study
dc.subject.otherAuthKeyword Coronary artery disease
dc.subject.otherAuthKeyword Heart disease
dc.subject.otherAuthKeyword Waterpipe smoking
dc.subject.otherChemCAS
dc.subject.otherIndex adult
dc.subject.otherIndex age
dc.subject.otherIndex aged
dc.subject.otherIndex alcohol consumption
dc.subject.otherIndex angiocardiography
dc.subject.otherIndex article
dc.subject.otherIndex case control study
dc.subject.otherIndex controlled study
dc.subject.otherIndex coronary artery disease
dc.subject.otherIndex coronary risk
dc.subject.otherIndex diabetes mellitus
dc.subject.otherIndex disease association
dc.subject.otherIndex exposure
dc.subject.otherIndex family history
dc.subject.otherIndex female
dc.subject.otherIndex human
dc.subject.otherIndex hyperlipidemia
dc.subject.otherIndex lifespan
dc.subject.otherIndex major clinical study
dc.subject.otherIndex male
dc.subject.otherIndex priority journal
dc.subject.otherIndex sex difference
dc.subject.otherIndex smoking
dc.subject.otherIndex waterpipe smoking
dc.subject.otherKeywordPlus HEART-RATE-VARIABILITY
dc.subject.otherKeywordPlus TOBACCO SMOKING
dc.subject.otherKeywordPlus PIPE SMOKING
dc.subject.otherKeywordPlus RISK
dc.subject.otherKeywordPlus ATTITUDES
dc.subject.otherKeywordPlus BEHAVIOR
dc.subject.otherKeywordPlus BELIEFS
dc.subject.otherWOS Peripheral Vascular Disease


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