Key result
Current waterpipe smoking was significantly associated with increased odds of myocardial infarction (adjusted OR 4.08) compared to non-smokers.
Why the study?
The global prevalence of waterpipe smoking is increasing, but its role as an independent risk factor for myocardial infarction requires further research.
Does waterpipe smoking increase the risk of myocardial infarction?
Case-Control (n=296)
Yes
Does waterpipe smoking increase the risk of myocardial infarction?
Odds Ratio: 4.08 (95% CI 1.37–12.1)
Absolute Event Rate: 18.9% vs 4.7%
Waterpipe smoking, particularly exclusive use, is strongly associated with an increased risk of myocardial infarction, highlighting the need for targeted public health interventions.
Waterpipe smoking was associated with MI; leaves open causality and need for prospective confirmation before guiding practice.
INTRODUCTION: The prevalence of waterpipe smoking is increasing globally. The involvement of waterpipe smoking as an independent risk factor for the development of myocardial infarction is an area in need of further research. Our study examines the possible relationship between waterpipe smoking and myocardial infarction. METHODS: In this incident case-control study, we enrolled 148 cases with myocardial infarction and 148 participants in the control group. Using logistic regression models, odds ratios and 95% CIs were calculated for the association between waterpipe smoking and myocardial infarction, while adjusting for possible confounders. RESULTS: Myocardial infarction was associated significantly with current waterpipe smoking (OR=4.08; 95% CI: 1.37-12.10), ever waterpipe smoking (OR=3.6; 95% CI: 1.31-10.19), and exclusive waterpipe smoking (OR=10.26; 95% CI: 2.22-47.29). Exclusive cigarette smoking was also associated significantly with the development of myocardial infarction (OR=4.6; 95% CI: 1.98-11.04). CONCLUSIONS: Waterpipe smoking is associated with myocardial infarction. Our findings reveal the need for targeted interventions to reduce the prevalence of this globally spreading form of tobacco smoking.
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Al-Amri et al. (2019) conducted a case-control in Myocardial infarction (n=296). Waterpipe smoking vs. Non-waterpipe smokers was evaluated on Myocardial infarction (OR 4.08, 95% CI 1.37-12.10). Current waterpipe smoking was significantly associated with increased odds of myocardial infarction (adjusted OR 4.08) compared to non-smokers.
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