BibTex RIS Cite

Akut Sigara İçiminin Atriyal Uyarı İletimi Üzerine Etkisi

Year 2012, Volume: 15 Issue: 1, 1 - 5, 01.01.2011

Abstract

Giriş: Akut sigara içiminin sempatik hiperaktiviteyle ilişkili olduğu bilinmektedir. Bu nedenle biz de akut sigara içiminin atriyal uyarı iletimini değiştirip değiştirmediğini araştırmak istedik. Materyal ve Metod: Aktif sigara içimi öyküsü olan sağlıklı 20 sigara tiryakisi çalışmaya dahil edildi. Sigara içimi öncesinde ve 15 dakika sonrasında katılımcıların 12 leadli yüzey EKG'leri 50 mm/sn kağıt hızıyla çekildi. Bulgular: Maksimum ve minimum p dalga sürelerindeki değişim manuel olarak ölçüldü ve bu iki değer arasındaki fark P Dalga Dispersiyonu (PWD) olarak tanımlandı. Bir sigara içiminin ardından kalp hızı anlamlı şekilde artarken, hem maksimum P dalga süresi hem de PWD değişmeden kaldı (sırasıyla 66 ± 5 vs. 72 ± 8 atım/dakika, p< 0.05; 104 ± 10 vs. 105 ± 7 ms, p> 0.05; 38 ± 10 vs. 42 ± 8 ms p> 0.05).Sonuç: Kronik sigara tiryakilerinde akut sigara içiminin tek başına atriyal uyarı iletimini değiştirmediğini bulduk.

References

  • Benowitz N. Drug therapy: pharmacologic aspects of cigarette smoking and nicotine addiction. N Engl J Med 1988;319:1318-30.
  • Kannel WB, Higgins M. Contributions of the Framingham study to the conquest of coronary artery disease. Am J Cardiol 1988;62:1109-12.
  • Hallstrom AP, Cobb LA, Ray R. Smoking as a risk factor for recurrence of sudden cardiac arrest. N Engl J Med 1986;314:271-5.
  • Cryer PE, Haymond MW, Santiago JV, Santiago JV, Shah SD. Norepinephrine release and adrenergic mediation of smokingassociated hemodynamic and metabolic events. N Engl J Med 1976;296:573-7.
  • Gidding SS, Xie X, Lui K, Manolio T, Fleack JM, Gardin JM. Cardiac function in smokers and nonsmokers: the CARDIA study. J Am Coll Cardiol 1995;26:211-6.
  • Hill P, Wynder EL. Smoking and cardiovascular disease: effect of nicotine on the serum epinephrine and corticoids. Am Heart J 1974;87:491-6.
  • Narkiewicz K, van de Borne PJ, Hausberg M, Hausberg M, Cooley RL, Divison DE, et al. Cigarette smoking increases sympathetic outflow in humans. Circulation 1998;98:528-34.
  • Kugiyama K, Yasue H, Ohgushi M, Inobe Y, Hirashima O, Sugiyama S, et al. Deficiency in nitric oxide bioactivity in epicardial coronary arteries of smokers. J Am Coll Cardiol 1996;28:1161-7.
  • Klein LW,Ambrose J, PichardA, Holt J, Gorlin R, Teicholz LE.Acute coronary hemodynamic response to cigarette smoking in patients with coronary artery disease. J Am Coll Cardiol 1984;3:879-86.
  • Esen AM, Barutcu I, Acar M, Degirmenci B, Kaya D, Turkmen M, et al. Effect of smoking on endothelial function and wall thickness of brachial artery. Circ J 2004;68:1123-7.
  • Barutcu I, Esen AM, Degirmenci B, Acar M, Kaya D, Turkmen M, et al. Acute cigarette smoking-induced hemodynamic alterations in the common carotid artery-a transcranial Doppler study. Circ J 2004;68:1127-31.
  • Dilaveris PE, Gialafos EJ, Andrikopoulos GK, Richter DJ, Papanikolaou V, Poralis K, et al. Clinical and electrocardiographic predictors of recurrent atrial fibrillation. Pacing Clin Electrophysiol 2000;23:352-8.
  • Dilaveris PE, Gialafos EJ, Sideris S, Theopistou AM, Andrikopoulos GK, Kyriakidis M, et al. Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation. Am Heart J 1998;135:733-8.
  • Cheema AN, Ahmed MW, Kadish AH, Goldberger JJ. Effects of autonomic stimulation and blockade on signal-averaged P wave duration. J Am Coll Cardiol 1995;26:497-502.
  • Tukek T, Akkaya V, Demirel S, Sozen AB, Kudat H, Atılgan D, et al. Effect of valsalva maneuver on surface electrocardiographic P wave dispersion in paroxysmal atrial fibrillation. Am J Cardiol 2000;85:896-9.
  • Camsari A, Pekdemir H, Akkus N, Yenihan S, Doven O, Cin VG. Long-term effects of beta blocker therapy on P-wave duration and dispersion in congestive heart failure patients. A new effect? J Electrocardiol 2003;36:111-6.
  • Leier CV, Meacham JA, Schaell SF. Prolonged atrial conduction: a major predisposing factor to atrial flutter. Circulation 1978;57:213-8.
  • Dilaveris PE, Gialofos JE. P-wave dispersion: a novel predictor of paroxysmal atrial fibrillation. Ann Noninvasive Electrocardiol 2001;6:159-65.
  • Dogan A, Acar G, Gedikli O, Ozaydın M, Nazli C, Altınbas A, et al. A comparison of P-wave duration and dispersion in patients with short-term and long-term atrial fibrillation. J Electrocardiol 2003;36:251-5.
  • Niedermaier ON, Smith ML, Beightol LA, Zukuwska-Grojec Z, Goldstein DS, Eckberg DL. Influence of cigarette smoking on human autonomic function. Circulation 1993;88:562-71.
  • Lucini D, Bertocchi F, Malliani A, Pagani M. A controlled study of the autonomic changes produced by habitual cigarette smoking in healthy subjects. Cardiovasc Res 1996;31:633-9.
  • Hayano J, Yamada M, Sakakibara Y, Fujinami T, Yokoyama K, Watanabe Y, et al. Short-and long-term effects of cigarette smoking on heart rate variability. Am J Cardiol 1990;65:84-8.
  • Lakier JB. Smoking and cardiovascular disease. Am J Med 1992;93:8S-12S.
  • Persico AM. Persistent decrease in heart rate after smoking cessation: a 1-year follow-up study. Psychopharmacology 1992;106:337-40.
  • LaCroix AZ, Omenn GS. Older adults and smoking. Clin Geriat Med 1992;8:69-87.
  • Stefanidis R, Tsiamis E, Vlachopoulus C, Stratos C, Toutouzas K, Pitsavos M, et al. Unfavorable effect of smoking on the elastic properties of the human aorta. Circulation 1997;95:31-8.
  • Quillen J, Rossen J, Oskarsson H, Minor R, Lopez A, Winniford M. Acute effect of cigarette smoking on the coronary circulation: constriction of epicardial and resistance vessels. J Am Coll Cardiol 1993;22:642-7.
  • Escobedo LG, Zack MM. Comparison of sudden death and nonsudden coronary death in the United States. Circulation 1996;93:2033-6.
  • Stewart PM, Catterall JR. Chronic nicotine ingestion and atrial fibrillation. Br Heart J 1985;54:222-3.
  • Gropelli A, Giorgi DMA, Omboni S, Parati G, Mancia G. Persistent blood pressure increase induced by heavy smoking. J Hypertension 1992;10:495-9.
  • Trap-Jensen J. Effect of smoking on the heart and peripheral circulation. Am Heart J 1988;111:263-67

Effect of Acute Cigarette Smoking on Atrial Impulse Propagation

Year 2012, Volume: 15 Issue: 1, 1 - 5, 01.01.2011

Abstract

Introduction: Acute cigarette smoking has been associated with sympathetic hyperactivity. We therefore sought to determine whether acute cigarette smoking alters atrial impulse propagation. Materials and Methods: Twenty healthy smokers with a history of active smoking were included to the study. The 12-leads surface ECG recorded at a pepper speed of 50 mm/s was obtained from all participants before and average 15 minutes after smoking one cigarette. Results: The change in maximum and minimum P wave duration was measured manually and difference between two values was defined as P wave dispersion (PWD). Both maximum P wave duration and PWD remained unchanged while heart rate significantly increased after smoking one cigarette (104 ± 10 vs. 105 ± 7 ms, p> 0.05; 38 ± 10 vs. 42 ± 8 ms, p> 0.05, and 66 ± 5 vs. 72 ± 8 beat/min, p< 0.05, respectively). Conclusion: We found that acute cigarette smoking alone did not alter atrial impulse propagation in chronic smokers

References

  • Benowitz N. Drug therapy: pharmacologic aspects of cigarette smoking and nicotine addiction. N Engl J Med 1988;319:1318-30.
  • Kannel WB, Higgins M. Contributions of the Framingham study to the conquest of coronary artery disease. Am J Cardiol 1988;62:1109-12.
  • Hallstrom AP, Cobb LA, Ray R. Smoking as a risk factor for recurrence of sudden cardiac arrest. N Engl J Med 1986;314:271-5.
  • Cryer PE, Haymond MW, Santiago JV, Santiago JV, Shah SD. Norepinephrine release and adrenergic mediation of smokingassociated hemodynamic and metabolic events. N Engl J Med 1976;296:573-7.
  • Gidding SS, Xie X, Lui K, Manolio T, Fleack JM, Gardin JM. Cardiac function in smokers and nonsmokers: the CARDIA study. J Am Coll Cardiol 1995;26:211-6.
  • Hill P, Wynder EL. Smoking and cardiovascular disease: effect of nicotine on the serum epinephrine and corticoids. Am Heart J 1974;87:491-6.
  • Narkiewicz K, van de Borne PJ, Hausberg M, Hausberg M, Cooley RL, Divison DE, et al. Cigarette smoking increases sympathetic outflow in humans. Circulation 1998;98:528-34.
  • Kugiyama K, Yasue H, Ohgushi M, Inobe Y, Hirashima O, Sugiyama S, et al. Deficiency in nitric oxide bioactivity in epicardial coronary arteries of smokers. J Am Coll Cardiol 1996;28:1161-7.
  • Klein LW,Ambrose J, PichardA, Holt J, Gorlin R, Teicholz LE.Acute coronary hemodynamic response to cigarette smoking in patients with coronary artery disease. J Am Coll Cardiol 1984;3:879-86.
  • Esen AM, Barutcu I, Acar M, Degirmenci B, Kaya D, Turkmen M, et al. Effect of smoking on endothelial function and wall thickness of brachial artery. Circ J 2004;68:1123-7.
  • Barutcu I, Esen AM, Degirmenci B, Acar M, Kaya D, Turkmen M, et al. Acute cigarette smoking-induced hemodynamic alterations in the common carotid artery-a transcranial Doppler study. Circ J 2004;68:1127-31.
  • Dilaveris PE, Gialafos EJ, Andrikopoulos GK, Richter DJ, Papanikolaou V, Poralis K, et al. Clinical and electrocardiographic predictors of recurrent atrial fibrillation. Pacing Clin Electrophysiol 2000;23:352-8.
  • Dilaveris PE, Gialafos EJ, Sideris S, Theopistou AM, Andrikopoulos GK, Kyriakidis M, et al. Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation. Am Heart J 1998;135:733-8.
  • Cheema AN, Ahmed MW, Kadish AH, Goldberger JJ. Effects of autonomic stimulation and blockade on signal-averaged P wave duration. J Am Coll Cardiol 1995;26:497-502.
  • Tukek T, Akkaya V, Demirel S, Sozen AB, Kudat H, Atılgan D, et al. Effect of valsalva maneuver on surface electrocardiographic P wave dispersion in paroxysmal atrial fibrillation. Am J Cardiol 2000;85:896-9.
  • Camsari A, Pekdemir H, Akkus N, Yenihan S, Doven O, Cin VG. Long-term effects of beta blocker therapy on P-wave duration and dispersion in congestive heart failure patients. A new effect? J Electrocardiol 2003;36:111-6.
  • Leier CV, Meacham JA, Schaell SF. Prolonged atrial conduction: a major predisposing factor to atrial flutter. Circulation 1978;57:213-8.
  • Dilaveris PE, Gialofos JE. P-wave dispersion: a novel predictor of paroxysmal atrial fibrillation. Ann Noninvasive Electrocardiol 2001;6:159-65.
  • Dogan A, Acar G, Gedikli O, Ozaydın M, Nazli C, Altınbas A, et al. A comparison of P-wave duration and dispersion in patients with short-term and long-term atrial fibrillation. J Electrocardiol 2003;36:251-5.
  • Niedermaier ON, Smith ML, Beightol LA, Zukuwska-Grojec Z, Goldstein DS, Eckberg DL. Influence of cigarette smoking on human autonomic function. Circulation 1993;88:562-71.
  • Lucini D, Bertocchi F, Malliani A, Pagani M. A controlled study of the autonomic changes produced by habitual cigarette smoking in healthy subjects. Cardiovasc Res 1996;31:633-9.
  • Hayano J, Yamada M, Sakakibara Y, Fujinami T, Yokoyama K, Watanabe Y, et al. Short-and long-term effects of cigarette smoking on heart rate variability. Am J Cardiol 1990;65:84-8.
  • Lakier JB. Smoking and cardiovascular disease. Am J Med 1992;93:8S-12S.
  • Persico AM. Persistent decrease in heart rate after smoking cessation: a 1-year follow-up study. Psychopharmacology 1992;106:337-40.
  • LaCroix AZ, Omenn GS. Older adults and smoking. Clin Geriat Med 1992;8:69-87.
  • Stefanidis R, Tsiamis E, Vlachopoulus C, Stratos C, Toutouzas K, Pitsavos M, et al. Unfavorable effect of smoking on the elastic properties of the human aorta. Circulation 1997;95:31-8.
  • Quillen J, Rossen J, Oskarsson H, Minor R, Lopez A, Winniford M. Acute effect of cigarette smoking on the coronary circulation: constriction of epicardial and resistance vessels. J Am Coll Cardiol 1993;22:642-7.
  • Escobedo LG, Zack MM. Comparison of sudden death and nonsudden coronary death in the United States. Circulation 1996;93:2033-6.
  • Stewart PM, Catterall JR. Chronic nicotine ingestion and atrial fibrillation. Br Heart J 1985;54:222-3.
  • Gropelli A, Giorgi DMA, Omboni S, Parati G, Mancia G. Persistent blood pressure increase induced by heavy smoking. J Hypertension 1992;10:495-9.
  • Trap-Jensen J. Effect of smoking on the heart and peripheral circulation. Am Heart J 1988;111:263-67
There are 31 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Rfan Barutçu This is me

Murat Yüksel This is me

Mustafa Bulut This is me

Mehmet Vefik Yazıcıoğlu This is me

Göksel Acar This is me

M. Muhsin Türkmen This is me

Ali Metin Esen This is me

Publication Date January 1, 2011
Published in Issue Year 2012 Volume: 15 Issue: 1

Cite

APA Barutçu, R. ., Yüksel, M. ., Bulut, M. ., Yazıcıoğlu, M. V. ., et al. (2011). Akut Sigara İçiminin Atriyal Uyarı İletimi Üzerine Etkisi. Koşuyolu Kalp Dergisi, 15(1), 1-5.
AMA Barutçu R, Yüksel M, Bulut M, Yazıcıoğlu MV, Acar G, Türkmen MM, Esen AM. Akut Sigara İçiminin Atriyal Uyarı İletimi Üzerine Etkisi. Koşuyolu Kalp Dergisi. January 2011;15(1):1-5.
Chicago Barutçu, Rfan, Murat Yüksel, Mustafa Bulut, Mehmet Vefik Yazıcıoğlu, Göksel Acar, M. Muhsin Türkmen, and Ali Metin Esen. “Akut Sigara İçiminin Atriyal Uyarı İletimi Üzerine Etkisi”. Koşuyolu Kalp Dergisi 15, no. 1 (January 2011): 1-5.
EndNote Barutçu R, Yüksel M, Bulut M, Yazıcıoğlu MV, Acar G, Türkmen MM, Esen AM (January 1, 2011) Akut Sigara İçiminin Atriyal Uyarı İletimi Üzerine Etkisi. Koşuyolu Kalp Dergisi 15 1 1–5.
IEEE R. . Barutçu, M. . Yüksel, M. . Bulut, M. V. . Yazıcıoğlu, G. . Acar, M. M. . Türkmen, and A. M. . Esen, “Akut Sigara İçiminin Atriyal Uyarı İletimi Üzerine Etkisi”, Koşuyolu Kalp Dergisi, vol. 15, no. 1, pp. 1–5, 2011.
ISNAD Barutçu, Rfan et al. “Akut Sigara İçiminin Atriyal Uyarı İletimi Üzerine Etkisi”. Koşuyolu Kalp Dergisi 15/1 (January 2011), 1-5.
JAMA Barutçu R, Yüksel M, Bulut M, Yazıcıoğlu MV, Acar G, Türkmen MM, Esen AM. Akut Sigara İçiminin Atriyal Uyarı İletimi Üzerine Etkisi. Koşuyolu Kalp Dergisi. 2011;15:1–5.
MLA Barutçu, Rfan et al. “Akut Sigara İçiminin Atriyal Uyarı İletimi Üzerine Etkisi”. Koşuyolu Kalp Dergisi, vol. 15, no. 1, 2011, pp. 1-5.
Vancouver Barutçu R, Yüksel M, Bulut M, Yazıcıoğlu MV, Acar G, Türkmen MM, Esen AM. Akut Sigara İçiminin Atriyal Uyarı İletimi Üzerine Etkisi. Koşuyolu Kalp Dergisi. 2011;15(1):1-5.