Chronic and Acute Effects of Smoking on the Left and Right Ventricular Relaxation in Young Healthy Smokers - Full Text View

Purpose

Impairment of relaxation, the early phase of ventricular diastole is the first stage of heart diastolic dysfunction. Left ventricular diastolic function can be determined noninvasively by Echo- Doppler – derived mitral valve flow velocities. The addition of pulmonary venous flow pattern enables more accurate assessment of left ventricle diastolic function. The role of the right ventricle in haemodynamic function of the heart is now emphasized. The right ventricle diastolic function can be assess by recording the Doppler tricuspid valve flow pattern. Impaired LV diastolic function usually precedes systolic dysfunction and may cause clinical signs of congestive heart failure. Cigarette smoking is one of the major risk factors for cardiovascular diseases. The aim of the study was to assess left and right ventricular diastolic function in healthy, young and slim smokers before and after smoking one cigarette.

Echocardiographic examination: before and after smoking one cigarette Echocardiographic evaluation of mitral valve flow, pulmonary venous flow, tricuspid valve flow and hepatic vein flow to assess diastolic function of ventricles.

Condition
Cardiovascular Diseases

Study Type:	Observational
Study Design:	Observational Model: Defined Population Observational Model: Natural History Time Perspective: Cross-Sectional Time Perspective: Prospective
Official Title:	Chronic and Acute Effect of Smoking on the Left and Right Ventricular Systolic and Diastolic Function in Young Healthy Smokers

Resource links provided by NLM:

MedlinePlus related topics: Smoking

U.S. FDA Resources

Further study details as provided by Medical University of Warsaw:

Estimated Enrollment:	33
Study Start Date:	November 2001
Estimated Study Completion Date:	November 2004

Detailed Description:

Echocardiographic examination: in left lateral position after 10 minutes rest. The first examination: after a 2-hour non-smoking period, the second: immediately after smoking one cigarette containing 0.9 mg of nicotine. The duration of the second examination: no more than 15 minutes.

Echocardiography equipment: Hewlett-Packard SONOS 2000 (Andover, Massachusetts) imaging system. The transducer’s frequency: 2 MHz.

From the apical four chamber view the visualisation of transmitral flow, pulmonary venous flow and transtricuspid flow. From subcostal view the visualisation of right superior hepatic vein and the hepatic vein flow.

Eligibility

Ages Eligible for Study:	18 Years to 40 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Smokers smoking over 10 cigarettes per day over the last 5 years
Body mass index < 25 kg/m2
Normal blood pressure and normal parameters of echocardiographic examination (wall thickness, left- and right- chamber size, valvular function and left and right ventricular systolic function)
Normal results of routine physical examination, chest x-ray, standard rest electrocardiogram and routine laboratory tests.

Exclusion Criteria:

Body mass index > 25 kg/m2
Abnormal blood pressure
Abnormal parameters of echocardiographic examination (wall thickness, left- and right- chamber size, valvular function and left and right ventricular systolic function)
Abnormal results of routine physical examination, chest x-ray, standard rest electrocardiogram and routine laboratory tests.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00395928

Locations

Poland
Internal Medicine and Cardiology Dpt,Institute of Dentistry,Warsaw Medical University
Warsaw, Lindleya 4, Poland, 02 005

Sponsors and Collaborators

Medical University of Warsaw

Investigators

Study Chair:

Danuta Liszewska-Pfejfer, Prof.

Internal Medicine and Cardiology Dpt, Warsaw Medical University

More Information

Publications:

Oh JK, Appleton CP, Hatle LK, Nishimura RA, Seward JB, Tajik AJ. The noninvasive assessment of left ventricular diastolic function with two-dimensional and Doppler echocardiography. J Am Soc Echocardiogr. 1997 Apr;10(3):246-70.

Klein AL, Tajik AJ. Doppler assessment of pulmonary venous flow in healthy subjects and in patients with heart disease. J Am Soc Echocardiogr. 1991 Jul-Aug;4(4):379-92. Review.

Voutilainen S, Kupari M, Hippelainen M, Karppinen K, Ventila M, Heikkila J. Factors influencing Doppler indexes of left ventricular filling in healthy persons. Am J Cardiol. 1991 Sep 1;68(6):653-9.

Alam M, Samad BA, Wardell J, Andersson E, Hoglund C, Nordlander R. Acute effects of smoking on diastolic function in healthy participants: studies by conventional doppler echocardiography and doppler tissue imaging. J Am Soc Echocardiogr. 2002 Oct;15(10 Pt 2):1232-7.

ClinicalTrials.gov Identifier:	NCT00395928 History of Changes
Other Study ID Numbers:	KB/126/2001
Study First Received:	November 2, 2006
Last Updated:	November 3, 2006
Health Authority:	Poland: Ministry of Health

Keywords provided by Medical University of Warsaw:

heart
echocardiography
diastolic function
left ventricle
right ventricle

cigarette smoking
Smoking
Heart Ventricles
Diastole
Doppler Echocardiography

Additional relevant MeSH terms:

Cardiovascular Diseases
Smoking
Habits

ClinicalTrials.gov processed this record on May 19, 2013