TY  - JOUR
TI  - The Effect of Chronic Inhouse Biomass Fuel Smoke Exposure
on Coronary Slow Flow Phenomenon in Women Living in the
Eastern Region of Turkey
AB  - Objective: Biomass fuel (BMF) is still widely used in rural areas for
cooking and heating worldwide. BMF smoke inhalation is a prominent
cause of respiratory and cardiovascular disease. The slow coronary
flow (SCF) phenomenon is known as the delayed opacification of distal
coronary arteries on a coronary angiogram. SCF is known to be related to
cardiovascular morbidity and mortality. Thus, we aimed to investigate the
relationship between exposure to BMF and SCF in women in this study.
Methods: A total of 457 consecutive women who underwent coronary
angiography were retrospectively enrolled in this study. Patients were
divided into two groups according to the use of BMF during their lives, from
birth to older ages, as biomass exposure group (BEG) and non-exposure
group. The presence of SCF was calculated based on thrombolysis in
myocardial infarction frame count.
Results: Two hundred fifty nine patients were in the BEG, whereas
198 patients were in the non-exposure group. The prevalence of SCF
was higher in the BEG compared to the non-exposure group (47.9% vs.
13.1%, respectively, p<0.001). The presence of biomass exposure, body
mass index, white blood cell count, low-density lipoprotein cholesterol,
C-reactive protein, serum creatinine, and hypertension were independent
predictors of SCF. The optimal cutoff point of biomass exposure time in
years to detect the presence of SCF was 30 years (Area under the curve:
0.71, sensitivity: 0.65, specifity: 0.71).
Conclusions: Exposure to indoor BMF was associated with a SCF
phenomenon in women.
AU  - ŞAYLIK, FAYSAL
AU  - Akbulut, Tayyar
DO  - 10.4274/MMJ.galenos.2022.41948
PY  - 2022
JO  - Medeniyet Medical Journal
VL  - 37
IS  - 1
SN  - 2149-2042
SP  - 21
EP  - 28
DB  - TRDizin
UR  - http://search/yayin/detay/523601
ER  -