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. 2024 Aug 5;24(1):2110.
doi: 10.1186/s12889-024-19561-z.

Association between the use of electronic cigarettes and myocardial infarction in U.S. adults

María José Farfán Bajaña  1   2 , Juan Carlos Zevallos  1 , Ivan Chérrez-Ojeda  3   4 , Geovanny Alvarado  1 , Tiffany Green  5 , Betty Kirimi  5 , Daniel Jaramillo  1 , Miguel Felix  1   2   6 , Emanuel Vanegas  1   2   7 , Alejandra Farfan  1 , Manuel Cadena-Vargas  8 , Daniel Simancas-Racines  9 , Marco Faytong-Haro  2   10
Affiliations

Association between the use of electronic cigarettes and myocardial infarction in U.S. adults

María José Farfán Bajaña et al. BMC Public Health. .

Abstract

Background: Compared with conventional cigarettes, electronic cigarettes are less harmful in some studies. However, recent research may indicate the opposite. This study aimed to determine whether e-cigarette use is related to myocardial health in adults in the U.S.

Methods: This study used data from the 2020 Behavioral Risk Factor Surveillance System (BRFSS), a cross-sectional survey of adult US residents aged 18 years or older. We examined whether e-cigarette use was related to myocardial infarction byapplying a logistic regression model to calculate odds ratios (ORs) and 95% confidence intervals (CIs).

Results: The final analytical sample included 198,530 adults in the U.S. Logistic regression indicated that U.S. adults who reported being former and some days of e-cigarette use had 23% and 52% greater odds of ever having an MI, respectively, than did those who reported never using e-cigarettes (OR = 1.23, 95% CI 1.08-1.40, p = 0.001; OR = 1.52, 95% CI 1.10-2.09, p = 0.010).

Conclusions: The results suggest that former and someday users of e-cigarettes probably have increased odds of myocardial infarction in adults in the U.S. Further research is needed, including long-term follow-up studies on e-cigarettes, since it is still unknown whether they should be discouraged.

Keywords: Adults; Coronary heart disease; E-cigarettes; Myocardial infarction; Vaping.

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Conflict of interest statement

The authors declare no competing interests.

References

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