title: The effect of smoking on arterial stiffness.
abstract: A systematic literature review was conducted using PubMed, Embase and the Cochrane Library to determine the effect of acute, chronic and passive smoking on arterial stiffness and to determine whether these effects are reversible after smoking cessation. A total of 39 relevant studies were identified and included. Acute smoking was found to cause an acute increase in arterial stiffness. Similarly, passive smoking increased arterial stiffness acutely and chronically. The majority of studies identified chronic smoking as a risk factor for increasing arterial stiffness. However, some studies found no statistical difference in arterial stiffness between nonsmokers and long-term smokers, although chronic smoking seems to sensitize the arterial response to acute smoking. In addition, whether arterial stiffness is reversed after smoking cessation and the timeline in which this may occur could not be determined from the identified literature. The effect of smoking discontinuation on arterial stiffness remains to be established by prospective smoking cessation trials.
authors.affiliation: Faculty of Medicine, Department of Medicine, McGill University, Quebec, Canada.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Doonan
authors.forename: Anais
authors.initials: A
authors.lastname: Hausvater
authors.forename: Ciaran
authors.initials: C
authors.lastname: Scallan
authors.forename: Dimitri P
authors.initials: DP
authors.lastname: Mikhailidis
authors.forename: Louise
authors.initials: L
authors.lastname: Pilote
authors.forename: Stella S
authors.initials: SS
authors.lastname: Daskalopoulou
mesh_terms: D001158:Arteries / Q000187:drug effects* / Q000503:physiopathology*; D006801:Humans; D012907:Smoking / Q000009:adverse effects* / Q000503:physiopathology; D016540:Smoking Cessation; D014655:Vascular Resistance