The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey
Objective: Biomass fuel (BMF) is still widely used in rural areas for cooking and heating worldwide. BMF smoke inhalation is a prominent cause of respiratory and cardiovascular disease. The slow coronary flow (SCF) phenomenon is known as the delayed opacification of distal coronary arteries on a cor...
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Galenos Publishing House
2022-03-01
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Series: | Medeniyet Medical Journal |
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Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-41948 |
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author | Tayyar AKBULUT Faysal SAYLIK |
author_facet | Tayyar AKBULUT Faysal SAYLIK |
author_sort | Tayyar AKBULUT |
collection | DOAJ |
description | Objective: Biomass fuel (BMF) is still widely used in rural areas for cooking and heating worldwide. BMF smoke inhalation is a prominent cause of respiratory and cardiovascular disease. The slow coronary flow (SCF) phenomenon is known as the delayed opacification of distal coronary arteries on a coronary angiogram. SCF is known to be related to cardiovascular morbidity and mortality. Thus, we aimed to investigate the relationship between exposure to BMF and SCF in women in this study.
Methods: A total of 457 consecutive women who underwent coronary angiography were retrospectively enrolled in this study. Patients were divided into two groups according to the use of BMF during their lives, from birth to older ages, as biomass exposure group (BEG) and non-exposure group. The presence of SCF was calculated based on thrombolysis in myocardial infarction frame count.
Results: Two hundred fifty nine patients were in the BEG, whereas 198 patients were in the non-exposure group. The prevalence of SCF was higher in the BEG compared to the non-exposure group (47.9% vs. 13.1%, respectively, p<0.001). The presence of biomass exposure, body mass index, white blood cell count, low-density lipoprotein cholesterol, C-reactive protein, serum creatinine, and hypertension were independent predictors of SCF. The optimal cutoff point of biomass exposure time in years to detect the presence of SCF was 30 years (Area under the curve: 0.71, sensitivity: 0.65, specifity: 0.71).
Conclusions: Exposure to indoor BMF was associated with a SCF phenomenon in women. |
format | Article |
id | doaj-art-a57e742ef9504b15998ee76c8e5d67b0 |
institution | Kabale University |
issn | 2149-2042 2149-4606 |
language | English |
publishDate | 2022-03-01 |
publisher | Galenos Publishing House |
record_format | Article |
series | Medeniyet Medical Journal |
spelling | doaj-art-a57e742ef9504b15998ee76c8e5d67b02025-01-30T07:15:45ZengGalenos Publishing HouseMedeniyet Medical Journal2149-20422149-46062022-03-01371212810.4274/MMJ.galenos.2022.41948MEDJ-41948The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of TurkeyTayyar AKBULUT0Faysal SAYLIK1University of Health Sciences Turkey, Van Training and Research Hospital, Clinic of Cardiology, Van, TurkeyUniversity of Health Sciences Turkey, Van Training and Research Hospital, Clinic of Cardiology, Van, TurkeyObjective: Biomass fuel (BMF) is still widely used in rural areas for cooking and heating worldwide. BMF smoke inhalation is a prominent cause of respiratory and cardiovascular disease. The slow coronary flow (SCF) phenomenon is known as the delayed opacification of distal coronary arteries on a coronary angiogram. SCF is known to be related to cardiovascular morbidity and mortality. Thus, we aimed to investigate the relationship between exposure to BMF and SCF in women in this study. Methods: A total of 457 consecutive women who underwent coronary angiography were retrospectively enrolled in this study. Patients were divided into two groups according to the use of BMF during their lives, from birth to older ages, as biomass exposure group (BEG) and non-exposure group. The presence of SCF was calculated based on thrombolysis in myocardial infarction frame count. Results: Two hundred fifty nine patients were in the BEG, whereas 198 patients were in the non-exposure group. The prevalence of SCF was higher in the BEG compared to the non-exposure group (47.9% vs. 13.1%, respectively, p<0.001). The presence of biomass exposure, body mass index, white blood cell count, low-density lipoprotein cholesterol, C-reactive protein, serum creatinine, and hypertension were independent predictors of SCF. The optimal cutoff point of biomass exposure time in years to detect the presence of SCF was 30 years (Area under the curve: 0.71, sensitivity: 0.65, specifity: 0.71). Conclusions: Exposure to indoor BMF was associated with a SCF phenomenon in women.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-41948biomass fuel exposureslow coronary flow phenomenonindoor air pollution |
spellingShingle | Tayyar AKBULUT Faysal SAYLIK The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey Medeniyet Medical Journal biomass fuel exposure slow coronary flow phenomenon indoor air pollution |
title | The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey |
title_full | The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey |
title_fullStr | The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey |
title_full_unstemmed | The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey |
title_short | The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure on Coronary Slow Flow Phenomenon in Women Living in the Eastern Region of Turkey |
title_sort | effect of chronic inhouse biomass fuel smoke exposure on coronary slow flow phenomenon in women living in the eastern region of turkey |
topic | biomass fuel exposure slow coronary flow phenomenon indoor air pollution |
url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-41948 |
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