학술논문

Arterial endothelial dysfunction related to passive smoking is potentially reversible in healthy young adults.
Document Type
Journal Article
Source
Annals of Internal Medicine. 04/06/99, Vol. 130 Issue 7, p578-581. 4p. 1 Diagram, 1 Chart.
Subject
*ARTERIAL diseases
*PASSIVE smoking
*HEALTH
*DISEASE risk factors
Language
ISSN
0003-4819
Abstract
Background: Passive smoking is associated with early arterial damage, but the potential for reversibility of this damage is unknown.Objective: To assess the reversibility of arterial endothelial dysfunction, a key marker of early atherosclerosis.Design: Cross-sectional study.Setting: Academic medical center.Participants: 60 healthy persons 15 to 39 years of age: 20 with no exposure to active or passive smoking, 20 nonsmoking passive smokers (exposure to environmental tobacco smoke for > or = 1 hour per day for > or = 2 years), and 20 former passive smokers.Measurements: Arterial endothelial function measured by noninvasive ultrasonography.Results: Endothelium-dependent dilatation was significantly better in former passive smokers (5.1% +/- 4.1% [range, -1.2% to 15.6%]) than in current passive smokers (2.3% +/- 2.1% [range, -0.2% to 6.7%]) (P = 0.01), although both groups were significantly impaired compared with nonsmoking controls (8.9% +/- 3.2% [range, 2.1% to 16.7%]) (P < or = 0.01 for both comparisons).Conclusions: In healthy young adults, arterial endothelial dysfunction related to passive smoking seems to be partially reversible. [ABSTRACT FROM AUTHOR]