September 1, 2009 2:00 PM

A Few Whiffs of Smoke May Harm Your Heart

(WebMD)  Just a few whiffs of tobacco smoke or dirty air can have a profound negative impact on your heart's health.

Study results released today by the American Heart Association suggest that exposure to even a small amount of smoke - whether it's from your own cigarette or someone else's - greatly increases your risk of dying from cardiovascular disease. The same goes for breathing in air polluted with carbon monoxide emissions.

"It doesn't require extreme exposure to have significant cardiovascular effects. Even passive exposures to ambient air pollution and secondhand smoke contribute to significant increases in cardiovascular mortality," study author C. Arden Pope III, PhD, says in a statement.

Researchers from Brigham Young University analyzed data from more than 1 million adults, noting their smoking habits and exposure to tiny, toxic particles (fine particulate matter) from secondhand smoke and air pollution.

They determined the relative risks of cardiovascular-related death from different amounts of cigarette smoking and compared them to the dangers of inhaling various levels of secondhand smoke and polluted air. They also took into consideration other known heart disease risk factors, such as diet and body mass index .

Previous studies have shown that cigarette smoking is a leading contributor to cardiovascular disease and related events, such as heart attacks and strokes. Active smoking fills the lungs with large amounts of fine particulate matter. These particles can go deep within the lungs, causing respiratory problems. They can also lead to the development of clogged arteries (atherosclerosis ).

Secondhand Smoke Raises Risk By 20 percent

The new study provides further evidence that just being near someone who smokes (secondhand smoke) significantly increases your risk for heart attacks and strokes. Breathing in levels of smoke far less than what equals one cigarette a day increases your risk of cardiovascular disease by about 20 percent to 30 percent, compared to people who are not exposed, the researchers found. They say that even low levels of smoke can prompt dangerous biological changes - such as inflammation and increased platelet activity - which make heart attacks more likely.

Researchers noted the steepest increase in risk in those who had relatively low levels of smoke exposure. In other words, breathing in even small amounts of smoke can have profoundly deleterious effects on health. But those exposed to low levels are not the only ones that should worry - the risk increases further the more smoke one inhales.

The findings, which appear in the journal Circulation, underscore the importance of avoiding secondhand smoke, and could have big implications for public policies on air quality. Study authors say the findings also deliver an important message for smokers:

"A critical finding of our study is that smoking is unhealthy even at small amounts," Pope said. "Reducing the amount one smokes does some good, but the biggest benefits come from stopping completely."

Among smokers, the increases in heart disease-related death risk were as follows:

• Three or less cigarettes a day: 64 percent increased risk
• Half pack (about 8-12 cigarettes daily): 79 percent increased risk
• Full pack (about 18-22 cigarettes daily): nearly 100 percent increased risk

In an accompanying editorial, Annette Peters, PhD, from the German Research Center for Environmental Health, Institute of Epidemiology, writes that the findings from this study and another on carbon monoxide exposure "highlight the consistently emerging evidence that both indoor and outdoor air quality is a modifiable risk factor for cardiovascular disease." She believes that many worldwide policy makers still underestimate the health risks associated with low-dose smoking, secondhand smoke, and air pollution.

Carbon monoxide emissions from traffic create dirty, smoggy air pollution. Researchers have also found that breathing in such air for even short periods of time - at levels deemed safe by current outdoor air quality standards - increases an older adult's chances of being admitted to the hospital for heart problems.
By Kelli Stacy
Reviewed by Elizabeth Klodas
©2005-2008 WebMD, LLC. All rights reserved

© 2009 WebMD, LLC.. All Rights Reserved.
Add a Comment
by debinok1 September 3, 2009 12:34 AM EDT
Among smokers, the increases in heart disease-related death risk were as follows:

? Three or less cigarettes a day: 64 percent increased risk
? Half pack (about 8-12 cigarettes daily): 79 percent increased risk
? Full pack (about 18-22 cigarettes daily): nearly 100 percent increased risk

So EVERY person that smokes a pack a day is GUARANTEED to die from a heart disease related death.

I bet all those people who died from LUNG CANCER feel pretty good about that.

This study is a JOKE.
Reply to this comment
by HGOODGUY September 2, 2009 1:30 AM EDT
The dangers of rationalizing second hand smoke is kind of like telling an adolescent he will go blind from ************ and then being told "I will just do it until I am nearsighted!!!"
Reply to this comment
by kansas1946 September 2, 2009 12:10 AM EDT
Oh please. Well, let's make fire places agains the law, bonfires, charcoal grills, fireworks, and anything else that produces smoke. I agree that smoking is bad for you, but stating that a "whiff" of smoke will kill you is utter nonsense and sounds like the whacky right's scare tactics, only this is coming from the whacky left. Is there really no honor left in this country.
Reply to this comment
by NinthSt78 September 1, 2009 6:24 PM EDT
What else is new? If the smoke-free crowd doesn't like candle-light dinners, maybe they should sit in the kitchen next to the microwave oven.
Reply to this comment
by mandylou4u September 1, 2009 5:14 PM EDT
Just another scare tactic. Pollution is worse than anything else and we ALL do that.
Reply to this comment
by cs4466 September 1, 2009 5:14 PM EDT
Given enough time, money and political clout, I'm certain the AMA can prove that cigarettes were the reason for the expulsion from the Garden of Eden.

I don't smoke, and yes, smoking is bad for you. So is breathing the air in almost any city. Time for some perspective and a little less hype.
Reply to this comment
by Questionews September 1, 2009 4:36 PM EDT
Yes, but stand around the campfire all night making smores & that's OK. A "whiff" of tobacco and you're a dead man, but hours around the campfire & you're fine.
Reply to this comment
by NinthSt78 September 1, 2009 5:26 PM EDT
Right on. Some folks still haven't found "home of the brave" yet. If our friend Chicken Little gets near a BBQ grill or a candle, the sky might fall...
by NinthSt78 September 1, 2009 5:29 PM EDT
Some folks still haven't found "home of the brave". If they smell a BBQ grill in the distance, they run the other way.
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