Waterpipe smoking has developed into a major and rapidly growing global tobacco
epidemic affecting more than 100 million people worldwide. This study identifies
and analyzes comprehensively all available data on the cardiovascular effects of
waterpipe smoking. Databases PubMed, EMBASE, Web of Science, and the Cochrane
Library were searched for studies published until December 2019 assessing
cardiovascular effects of waterpipe smoking. We included experimental, cohort,
cross-sectional and case-control studies and excluded systematic reviews, case
reports/series and qualitative studies. Studies not conducted in humans or not
distinguishing waterpipe smoking from other forms of smoking were also excluded.
A total of 42 studies with 46 cardiovascular parameters were eligible for
analysis. The meta-analysis included 31 studies with 38,037 individuals. Results
showed that one waterpipe smoking session leads to immediate increases in heart
rate and blood pressure (P
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Systematic Review
Cardiovascular effects of waterpipe smoking: a systematic review and meta-analysis
Radwan Al Ali1,*, Davor Vukadinović1, Wasim Maziak2, Lama Katmeh1, Viktoria Schwarz1, Felix Mahfoud1, Ulrich Laufs3, Michael Böhm1
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1
Klinik für Innere Medizin III, Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum des Saarlandes, Saarland University, Kirrberger Str. 100, 66421 Homburg/Saar, Germany
2
Robert Stempel College of Public Health, Florida International University, Miami, Florida 33174, USA
3
Klinik und Poliklinik für Kardiologie, Universitätsklinikum, Liebigstr. 20, 04103 Leipzig, Germany
*Correspondence: radwan.al-ali@uks.eu (Radwan Al Ali)
Rev. Cardiovasc. Med. 2020, 21(3), 453–468;
https://doi.org/10.31083/j.rcm.2020.03.135
Submitted: 14 July 2020 | Revised: 9 September 2020 | Accepted: 12 September 2020 | Published: 30 September 2020
Copyright: © 2020 Al Ali et al. Published by IMR Press.
This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).
Abstract
Keywords
Waterpipe
smoking
cardiovascular disease
cardiovascular risk factors
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