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January 1, 1965CirculationOpen Access

The Effects of Smoking on the Cardiac Output at Rest and during Exercise in Patients with Healed Myocardial Infarction

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Key result

Smoking after healed MI fails to increase cardiac output or stroke volume despite raising heart rate.

Why the study?

Does smoking affect cardiac output, stroke volume, and heart rate in subjects with healed myocardial infarction compared to normal subjects?

Population

Subjects with healed myocardial infarction and normal subjects

Comparison

Smoking at rest and during exercise vs Normal subjects

Design

Cross-sectional

Authors

WFWilliam S. FranklUnited States Department of Veterans AffairsWWWilliam L. WintersInterventional CardiologyLSLouis A. SoloffUniversity of Guelph-Humber

Discussion

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Overview

Hemodynamic dissociation after smoking in healed MI may signal impaired reserve; hypothesis-generating and should not yet change practice.

Study Design

Type

Observational

Structured PICO

Does smoking affect cardiac output, stroke volume, and heart rate in subjects with healed myocardial infarction compared to normal subjects?

P
Population
Subjects with healed myocardial infarction.
E
Exposure
Smoking at rest and during exercise
C
Comparator
Normal subjects (and healthy subjects pretreated with glucose)
O
Outcome
Cardiac output, stroke volume, and heart ratesurrogate

In patients with prior myocardial infarction, smoking increases heart rate but fails to increase cardiac output or stroke volume, suggesting different mediating factors for these hemodynamic responses.

Cite This Study

Frankl et al. (1965) conducted an observational in Healed Myocardial Infarction. Smoking vs. Normal subjects was evaluated on Cardiac output and stroke volume. Smoking in subjects with healed myocardial infarction fails to increase cardiac output or stroke volume, despite increasing heart rate, unlike its effects in normal subjects.

synapsesocial.com/papers/6aa4cad2c19a1092ac811d7bhttps://doi.org/10.1161/01.cir.31.1.42
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Glucose Blockage of the Increase in Stroke Volume Produced by Smoking1964 · 6 citations
  2. 2THE ACUTE EFFECTS OF SMOKING ON MYOCARDIAL PERFORMANCE IN PATIENTS WITH CORONARY ARTERIAL DISEASE1964 · 24 citations
  3. 3Effect of Cigarette Smoking on Coronary Blood Flow and Myocardial Metabolism1957 · 56 citations
  4. 4CIGARETTE SMOKING AND CARDIAC OUTPUT1963 · 33 citations
  5. 5Effects of Cessation of Smoking after Myocardial Infarction1998 · 18 citations