Increased vulnerability to atrial and ventricular arrhythmias caused by different types of inhaled tobacco or marijuana products

Qiu, Huiliang; Zhang, Hao; Han, Daniel D; Derakhshandeh, Ronak; Wang, Xiaoyin; Goyal, Natasha; Navabzadeh, Mina; Rao, Poonam; Wilson, Emily; Mohammadi, Leila; Olgin, Jeffrey E.; Springer, Matthew L.

doi:10.1016/j.hrthm.2022.09.021

Cited by 18 publications

(10 citation statements)

References 40 publications

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“…Many researchers reported association between ENDS and marijuana use among YAs (Bluestein et al, 2019; Temple et al, 2017; Unger et al, 2016). The co-use of marijuana and ENDS is known to have harmful effects on the heart as do traditional combustible cigarettes by inducing vulnerability to atrial and ventricular arrhythmias (Qiu et al, 2023). Further research is warranted on the concurrent use of ENDS and marijuana or other substances among YAs in rural areas.…”

Section: Discussionmentioning

confidence: 99%

Experiences and Perceptions of E-Cigarette Cessation for Young Adults in Rural Communities

Gwon,

Thongpriwan,

Mobarki

et al. 2023

Nursing Research

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Background Electronic nicotine delivery systems, also known as e-cigarettes, are the most commonly used tobacco products among young adults in the United States. Young adults in rural areas have a higher prevalence of ENDS use compared to their urban counterparts yet there is limited evidence regarding the in-depth understanding of experiences and perspectives directly from young adults. Objectives To explore individual experiences and perspectives about use and cessation of electronic nicotine delivery systems from young adults in rural areas. Methods This was a qualitative study using interpretive description for analysis. Young adults (18-24 years) who used electronic nicotine delivery systems very day but not other tobacco products (cigarettes, smokeless, etc.) in the past month and had an address in a rural county of Wisconsin were eligible; there were nine participants interviewed using Zoom. Interview questions focused on initial use, maintenance of use, experiences of quitting, and social and rural environmental contexts regarding electronic nicotine delivery systems. Results Three themes emerged with eight categories: (1) addiction to electronic nicotine delivery systems and health; (2) cessation and resources; and (3) rural environment and culture in electronic nicotine delivery systems addiction. Discussion Findings have implications for electronic nicotine delivery systems cessation interventions targeting YAs in rural areas.

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Section: Discussionmentioning

confidence: 99%

Experiences and Perceptions of E-Cigarette Cessation for Young Adults in Rural Communities

Gwon,

Thongpriwan,

Mobarki

et al. 2023

Nursing Research

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“…The AVID study ( 27 ) has previously shown that lipid-lowering therapy had a positive impact on decreasing ventricular arrhythmia in patients with atherosclerotic heart disease. Smoking has been shown to have deleterious effects on the myocardium with the predisposition to an arrhythmogenic substrate in an animal model ( 28 ). Smoking cessation improves cardiovascular outcomes, but it can take up to 5 ( 29 ) and even 15 ( 30 ) years for outcomes to stabilize to levels of never-smokers.…”

Section: Discussionmentioning

confidence: 99%

Influence of standard modifiable risk factors on ventricular tachycardia after myocardial infarction

Deshmukh,

Kovoor,

Byth

et al. 2023

Front. Cardiovasc. Med.

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BackgroundInducible ventricular tachycardia (VT) at electrophysiology study (EPS) predicts sudden cardiac death because of ventricular tachyarrhythmia, the single greatest cause of death within 2 years after myocardial infarction (MI).ObjectivesWe aimed to assess the association between standard modifiable risk factors (SMuRFs) and inducible VT at EPS early after MI.MethodsConsecutive patients with left ventricle ejection fraction ≤40% on days 3–5 after ST elevation MI (STEMI) who underwent EPS were prospectively recruited. Positive EPS was defined as induced sustained monomorphic VT cycle length ≥200 ms for ≥10 s or shorter if hemodynamically compromised. The primary outcome was inducibility of VT at EPS, and the secondary outcome was all-cause mortality on follow-up.ResultsIn 410 eligible patients undergoing EPS soon (median of 9 days) after STEMI, 126 had inducible VT. Ex-smokers experienced an increased risk of inducible VT [multivariable logistic regression adjusted odds ratio (OR) 2.0, p = 0.033] compared with current or never-smokers, with comparable risk. The presence of any SMuRFs apart from being a current smoker conferred an increased risk of inducible VT (adjusted OR 1.9, p = 0.043). Neither the number of SMuRFs nor the presence of any SMuRFs was associated with mortality at a median follow-up of 5.4 years.ConclusionsIn patients with recent STEMI and impaired left ventricular function, the presence of any SMuRFs, apart from being a current smoker, conferred an increased risk of inducible VT at EPS. These results highlight the need to modify SMuRFs in this high-risk subset of patients.

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“…The recruitment for the study was conducted between January 2019 and March 2020 through advertisements on social media and in maternity clinics in the region of Southwest Finland. The participants were divided into two groups: 1) the high-risk group, including 32 pregnant women with a history of PTB (i.e., birth between gestational weeks [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] or late miscarriage (between gestational weeks 12-21), and 2) the low-risk group, comprising 30 pregnant women with a history of full-term births (i.e., birth after gestational week 37) and no prior pregnancy losses. All participants met specific inclusion criteria, such as singleton pregnancies, recruitment at 12-15 gestational weeks, age over 18 years, proficiency in the Finnish language, and having access to an Android or iOS smartphone.…”

Section: Participants and Recruitmentmentioning

confidence: 99%

“…Electrocardiogram (ECG) signals have been conventionally employed to explore the ANS function in women with a history of recurrent pregnancy loss 27 . The HRV when assessed by ECG is linked to behavioral and preexisting medical conditions known to affect PTB, including stress 28,29 , physical activity 30 , sleep 31 , mental health 32 , smoking 33 , BMI 34 , drug abuse 35 , gestational hypertension and preeclampsia 36 , and fetal growth 37 . However, biosignal methodologies for PTB prediction are limited to short-term and intermittent data collected mainly in predefined clinical settings, limiting comprehension of dynamic real-life scenarios linked to PTB.…”

Section: Introductionmentioning

confidence: 99%

Preterm Birth Risk Stratification through Longitudinal Heart Rate and HRV Monitoring in Daily Life

Feli,

Azimi,

Sarhaddi

et al. 2024

Preprint

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Preterm birth (PTB) remains a global health concern, impacting neonatal mortality and lifelong health consequences. Traditional methods for estimating PTB rely on electronic health records or biomedical signals, limited to short-term assessments in clinical settings. Recent studies have leveraged wearable technologies for in-home maternal health monitoring, offering continuous assessment of maternal autonomic nervous system (ANS) activity and facilitating the exploration of PTB risk. In this paper, we conduct a longitudinal study to assess the risk of PTB by examining maternal ANS activity through heart rate (HR) and heart rate variability (HRV). To achieve this, we collect long-term raw photoplethysmogram (PPG) signals from 58 pregnant women (including seven preterm cases) from gestational weeks 12-15 to three months post-delivery using smartwatches in daily life settings. We employ a PPG processing pipeline to accurately extract HR and HRV, and an autoencoder machine learning model with SHAP analysis to generate explainable abnormality scores indicative of PTB risk. Our results reveal distinctive patterns in PTB abnormality scores during the second pregnancy trimester, indicating the potential for early PTB risk estimation. Moreover, we find that HR, average of interbeat intervals (AVNN), SD1SD2 ratio, and standard deviation of interbeat intervals (SDNN) emerge as significant PTB indicators.

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Increased vulnerability to atrial and ventricular arrhythmias caused by different types of inhaled tobacco or marijuana products

Cited by 18 publications

References 40 publications

Experiences and Perceptions of E-Cigarette Cessation for Young Adults in Rural Communities

Experiences and Perceptions of E-Cigarette Cessation for Young Adults in Rural Communities

Influence of standard modifiable risk factors on ventricular tachycardia after myocardial infarction

Preterm Birth Risk Stratification through Longitudinal Heart Rate and HRV Monitoring in Daily Life

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