Alireza Oraii

Population Health Research Institute

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Francis E. Marchlinski

University of Pennsylvania

Matthew C. Hyman

Hospital of the University of Pennsylvania

Timothy M. Markman

University of Pennsylvania

Corentin Chaumont

Université de Rouen Normandie

Saman Nazarian

Hospital of the University of Pennsylvania

David S. Frankel

University of Pennsylvania

William F. McIntyre

Population Health Research Institute

Gregory E. Supple

Hospital of the University of Pennsylvania

David J. Callans

Hospital of the University of Pennsylvania

Mostafa Hosseini

Tehran University of Medical Sciences

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Tehran University of Medical Sciences

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University of Pennsylvania

Hospital of the University of Pennsylvania

University of Tehran

McMaster University

Shahid Beheshti University of Medical Sciences

Tehran Heart Center

Population Health Research Institute

Sina Hospital

Iran University of Medical Sciences

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Effect of passive exposure to cigarette smoke on blood pressure in children and adolescents: a meta-analysis of epidemiologic studies

BMC Pediatrics (2019)

Mahshid Aryanpur Mahmoud Yousefifard Alireza Oraii Gholamreza Heydari Mehdi Kazempour Dizaji

Hypertension is an emerging disease in children and adolescents resulting in future morbidities. Cigarette smoking is one of the most studied contributing factors in this regard; however, there are contradictory results among different studies. Therefore, the present meta-analysis tends to assess the relationship between passive exposure to cigarette smoke and blood pressure in children and adolescents. Medline, Embase, Scopus, EBSCO, and Web of Sciences were systematically reviewed for observational studies up to May, 2017, in which the relationship between cigarette smoking and hypertension were assessed in children and adolescents. The meta-analysis was performed with a fixed effect or random effects model according to the heterogeneity. Twenty-nine studies were included in present meta-analysis incorporating 192,067 children and adolescents. Active smoking (pooled OR = 0.92; 95% CI: 0.79 to 1.05) or passive exposure to cigarette smoke (pooled OR = 1.01; 95% CI: 0.93 to 1.10) were not associated with developing hypertension in the study population. Despite the fact that active cigarette smoking did not significantly affect absolute level of systolic and diastolic blood pressure, it was shown that passive exposure to cigarette smoke leads to a significant increase in absolute level of systolic blood pressure (pooled coefficient = 0.26; 95% CI: 0.12 to 0.39). Both active and passive cigarette smoking were not associated with developing hypertension in children and adolescents. However, passive cigarette smoke was associated with higher level of systolic blood pressure in children and adolescents.

Passive smoking

Tobacco smoke

10.1186/s12887-019-1506-7

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Citations (74)

MP-483499-005 INCREMENTAL BENEFIT OF STEPWISE PROVOCATION TESTING FOR IDENTIFYING NON PULMONARY VEIN TRIGGERS OF ATRIAL FIBRILLATION

Heart Rhythm (2024)

Alireza Oraii Corentin Chaumont Masahiro Sekigawa David Lin Timothy M. Markman

10.1016/j.hrthm.2024.03.508

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Compression stockings for treating vasovagal syncope (COMFORTS-II) trial: Rationale and design of a triple-blind, multi-center, randomized controlled trial

American Heart Journal (2022)

Hamed Tavolinejad Amirhossein Poopak Saeed Sadeghian Ali Bozorgi Alireza Oraii

Vasovagal Syncope

Compression stockings

Tilt table test

10.1016/j.ahj.2022.04.002

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Long-Term Effects of Opium Consumption Following Percutaneous Coronary Intervention: A 10-year Follow-Up Study

Global Heart (2024)

Ali Izadi Amoli Alireza Oraii Faezeh Aghajani Mana Jameie Zahra Lotfi

Background: Opium consumption has been an overlooked health issue in the Iranian population, and the prognostic role of opium consumption in patients undergoing coronary revascularization is unknown. Hypothesis: We aimed to assess the association between opium consumption and long-term cardiovascular outcomes after percutaneous coronary intervention (PCI). Methods: We screened 2203 consecutive patients who underwent elective PCI between April 2009 and April 2010 at Tehran Heart Center. Exclusion criteria were unsuccessful PCI, non-elective PCI, and missing opium use data. Opium consumption was defined as self-reported ever use of any traditional opium substances. Outcomes of interest were all-cause mortality and a composite of major adverse cardiac and cerebrovascular events (MACCE). The association between opium use and study outcomes was evaluated using the inverse probability of treatment weighting (IPTW) method. Cumulative hazard curves were demonstrated to further assess the association visually. Furthermore, the effect of opium consumption on individual components of MACCE was evaluated in a competing risk setting. Results: A total of 2025 elective PCI patients were included (age: 58.7 ± 10.67, 29.1% women), among whom 297 (14.6%) patients were opium users. After a median follow-up of 10.7 years, opium consumption was associated with a higher risk of all-cause mortality (IPTW-hazard ratio [HR] = 1.705, 95% CI: 1.125–2.585; P = 0.012) and MACCE (IPTW-HR = 1.578, 95% CI: 1.156–2.153; P = 0.004). The assessment of MACCE components suggested a non-significant borderline trend for higher non-fatal myocardial infarction (IPTW–sub-distribution HR [SHR] = 1.731, 95% CI: 0.928–3.231; P = 0.084) and mortality (IPTW-SHR = 1.441, 95% CI: 0.884–2.351; P = 0.143) among opium users. Conclusions: Opium consumption is associated with a more than 50% increase in long-term risk of mortality and MACCE in patients undergoing PCI. These findings accentuate the importance of preventive strategies to quit opium addiction in this population.

Consumption

10.5334/gh.1315

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Citations (1)

Predictors of nonpulmonary vein triggers for atrial fibrillation: A clinical risk score

Heart Rhythm (2024)

Munveer Thind Alireza Oraii Corentin Chaumont Martín Ricardo Arceluz Masahiro Sekigawa

Atrial tachycardia

10.1016/j.hrthm.2024.01.048

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Citations (3)

Ablation of Ventricular Tachycardia from Right Ventricular Aneurysms in Patients with Arrhythmogenic Cardiomyopathy Guided by Intracardiac Echocardiography