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

• Published in: BMC public health Vol. 24; no. 1; pp. 2110 - 10
• Main Authors: Farfán Bajaña, María José, Zevallos, Juan Carlos, Chérrez-Ojeda, Ivan, Alvarado, Geovanny, Green, Tiffany, Kirimi, Betty, Jaramillo, Daniel, Felix, Miguel, Vanegas, Emanuel, Farfan, Alejandra, Cadena-Vargas, Manuel, Simancas-Racines, Daniel, Faytong-Haro, Marco
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 05.08.2024; BioMed Central; BMC
• Subjects: Adolescent; Adult; Adults; Age; Aged; Alcohol; Analysis; Behavioral Risk Factor Surveillance System; Cardiovascular disease; Care and treatment; Cigarettes; Confidence intervals; Confounding (Statistics); Coronary heart disease; COVID-19; Cross-Sectional Studies; Demographic aspects; Diabetes; E-cigarettes; Electronic cigarettes; Electronic Nicotine Delivery Systems - statistics & numerical data; Female; Females; Health aspects; Heart attack; Heart attacks; Humans; Male; Middle Aged; Myocardial infarction; Myocardial Infarction - epidemiology; Nicotine; Pandemics; Questionnaires; Regression models; Risk Factors; Risk taking; Secondary schools; Smoking; Statistical analysis; Surveillance systems; United States - epidemiology; Vaping; Vaping - adverse effects; Vaping - epidemiology; Variables; VOCs; Volatile organic compounds; Young Adult; United States; United States > US; Myocardial infarction; Vaping; E-cigarettes; Adults; Coronary heart disease
• ISSN: 1471-2458; 1471-2458
• DOI: 10.1186/s12889-024-19561-z

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. 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). 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). 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.