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BRIEF COMMUNICATION

Arterial Endothelial Dysfunction Related to Passive Smoking Is Potentially Reversible in Healthy Young Adults

right arrow Olli T. Raitakari, MD, PhD; Mark R. Adams, MB, BS, PhD, FRACP; Robyn J. McCredie, BSc; Kaye A. Griffiths, DMU; and David S. Celermajer, MB, BS, PhD, FRACP

6 April 1999 | Volume 130 Issue 7 | Pages 578-581

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 ≥ 1 hour per day for ≥ 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 ≤ 0.01 for both comparisons).

Conclusions: In healthy young adults, arterial endothelial dysfunction related to passive smoking seems to be partially reversible.

Author and Article Information
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From Royal Prince Alfred Hospital, The Heart Research Institute, and University of Sydney, Sydney, Australia; and University of Turku, Turku, Finland.

Grant Support: By the Academy of Finland and Turku University Central Hospital, Finland (Dr. Raitakari); the Medical Foundation of Sydney University, Australia (Ms. McCredie and Dr. Celermajer); and the National Heart Foundation of Australia (Ms. Griffiths).

Request for Reprints: David S. Celermajer, MB, BS, PhD, FRACP, Department of Cardiology, Royal Prince Alfred Hospital, Missenden Road, Camperdown NSW 2050, Sydney, Australia.

Current Author Address: Drs. Raitakari, Adams, and Celermajer, Ms. Griffiths, and Ms. McCredie: Department of Cardiology, Royal Prince Alfred Hospital, Missenden Road, Camperdown NSW 2050, Sydney, Australia.




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