E-cigarettes and myocardial infarction : A systematic review and meta-analysis

Copyright © 2022 Elsevier B.V. All rights reserved..

BACKGROUND: With widespread awareness about the harmful effects of traditional smoking, many people are considering using an e-cigarette. However, many studies have shown that e-cigarettes are not entirely harmless, and their use has been implicated in causing major adverse cardiovascular events.

METHODS: We adopted the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines to conduct this systematic review. An electronic search was conducted comprehensively through five databases to find the relevant articles. The odds ratio (OR) was used for comparing groups. Meta-analysis was conducted using R statistical software version 3.4.3. A random-effects model was used.

RESULTS: A total of 4 studies were included in the analysis incorporating data on 585,306 individuals. Of these, 19,435 were e-cigarettes users, while 1693 used only traditional cigarettes, and 553,095 were non-e-cigarette users. 7.0% of e-cigarettes users suffered an MI (myocardial infarction), while 7.7% and 6.5% of traditional smokers and non-e-cigarettes users suffered an MI. The OR of getting an MI in e-cigarettes (e-cigarettes only or e-cigarettes + traditional smoking) users was 1.33 (95% CI = 1.14-1.56, p-value = 0.01) in comparison to non e-cigarette users (traditional smoking or no smoking). While it is 0.61 (95% CI = 0.40-0.93, p-value 0.02) when compared with traditional smoking.

CONCLUSION: Those using e-cigarettes have higher odds of suffering from an MI in comparison to not using e-cigarettes. However, using e-cigarettes is associated with half risk of the risk of MI in comparison to traditional smoking.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:371

Enthalten in:

International journal of cardiology - 371(2023) vom: 15. Jan., Seite 65-70

Sprache:

Englisch

Beteiligte Personen:

Sharma, Akash [VerfasserIn]
Gupta, Ishita [VerfasserIn]
Venkatesh, U [VerfasserIn]
Singh, Arvind Kumar [VerfasserIn]
Golamari, Reshma [VerfasserIn]
Arya, Prakriti [VerfasserIn]

Links:

Volltext

Themen:

E-cigarettes
Journal Article
Meta-Analysis
Myocardial infarction
Review
Smoking
Systematic Review

Anmerkungen:

Date Completed 16.12.2022

Date Revised 22.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ijcard.2022.09.007

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM346046173