Effect of smoking on arterial stiffness and pulse pressure amplification
Effect of smoking on arterial stiffness and pulse pressure amplification
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DOI:
10.1161/01.hyp.0000047464.66901.60
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发表时间:
2003-01-01
期刊:
影响因子:
8.3
通讯作者:
Feely, J
中科院分区:
文献类型:
--
作者:
Mahmud, A;Feely, J
The brachial artery pressure waveform is abnormal in smokers, but the effect of smoking on the aortic pressure waveform in both smokers and nonsmokers, particularly in the younger population, is unknown. We compared the acute and chronic effects of smoking on large-artery properties in 185 healthy young smokers and nonsmokers (mean +/- SD, 22 +/- 5 years). We matched 41 chronic smokers for age, height, weight, and gender with 116 nonsmokers. The augmentation index, a measure of arterial wave reflection in the aorta, was measured by applanation tonometry (Sphygmocor). We also compared augmentation index, aortic pulse wave velocity (Complior), and blood pressure in 28 subjects (11 chronic smokers) before and for 15 minutes after smoking 1 cigarette (nicotine content, 1.2 mg). Although brachial blood pressure was not different, the aortic systolic blood pressure (101 +/- 8 versus 97 +/- 9 mmHg) and augmentation index (0.7 +/- 13 versus -5.7 +/- 14) were higher (P