A Study of Blood Pressure and Electrocardiography Changes among Smokeless tobacco and Non Smokeless Tobacco Chewer Persons
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 5
Abstract
Introduction: Tobacco chewing is one of the common causes of the preventable deaths globally. It contains nicotine which causes physical and psychological dependencies increases the blood coagulability and causes conduction block, re-entry and ventricular fibrillation. SLT components causing cardiovascular abnormalities assessed by doing cheapest method ECG. Materials and Methods: A prospective case control study was done on 100 Smokeless tobacco and 100 non chewers. Detailed clinical examination was done to rule out any other physical illness. BP and 12 lead ECG were done in all participants. Systolic blood pressure, diastolic blood pressure, Resting heart rate, the p wave, the PR interval, the QRS complex, QTc (corrected QT interval), ST segment, T wave abnormalities were assessed in both group and statistical analysis was done by unpaired T test. Results: Prevalence of hypertension was higher in smokeless tobacco chewers. A significant correlation with elevated systolic blood pressure, diastolic blood pressure and mean arterial blood pressure was noted.(p ≤ 0.01) The heart rate was increased in Smokeless tobacco users which was statistically significant. The RR interval, The analysis showed that QTc interval was shortened and that the QRS complex duration was widened the QT interval and the ST segment were shortened as compared to those in the non-smokeless tobacco users which was highly significant statistically. QTc interval was shortened and that the QRS complex duration was widened in the Smokeless tobacco users, although the values did not show any statistical significance. Conclusion: ECG is an important tool in predicting cardiovascular morbidity in Smokeless tobacco chewers. Not only the ST-T changes or chamber hypertrophy but also resting heart rate, PR interval and QT interval should be measured in Smokeless tobacco users periodically to predict cardiovascular involvement early.
Authors and Affiliations
Sunil Budhania, Rakesh Mehla, Dinesh Choudhary, Jitendra Acharya, Jaipal Bugalia, Adit Malik
Keywords
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- EP ID EP537613
- DOI 10.21276/ijmrp.2018.4.5.069
- Views 97
- Downloads 0
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