Hookah Smoking
Conditions
Keywords
Hookah, waterpipe, smoking, sympathetic
Brief summary
This is a pilot study on acute effects of Hookah smoking on the sympathetic neural control of the human cardiovascular system. Hookah smoking is known to transiently increase blood pressure and heart rate while decreasing heart rate variability suggesting - but not proving - sympathetic mediation. Here the investigators will directly measure the acute effects of Hookah smoking on sympathetic nerve activity with microneurography (intraneural microelectrodes) and quantify associated regional changes in vasomotor tone.
Interventions
Subjects will smoke waterpipe in a controlled research environment.
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 to 39 years of age * Habitual Hookah smoker defined as having smoked Hookah \>=12 times in the past 12 months * Have not smoked cigarettes within the past 12 months
Exclusion criteria
* Exhaled carbon monoxide level greater than 10 ppm\* as evidence of current or recent cigarette (excluded if smoked cigarette within 12 months) or Hookah smoking (excluded if smoked Hookah within past 72 hours) * History of cardiopulmonary disease * Use of any prescription medication with exception of oral contraceptive pills * History of psychiatric illness * History of neurologic disease * BMI ≥ 35 * Evidence of any of the above by physical examination, ECG or echocardiogram * Smoked cigarette in the past 12 months * History of illicit drug use * Pregnant * Any other condition(s) deemed by the physician investigators that put subjects at risk for participating in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sympathetic nerve activity | At the initial study visit | Multi-unit recordings of sympathetic nerve activity will be obtained with single-use sterile tungsten microelectrodes inserted selectively into muscle or skin nerve fascicles of the peritoneal nerve. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Myocardial contrast echocardiography | At the initial study visit | Myocardial contrast echocardiography will be used to measure regional myocardial perfusion (i.e. capillary blood volume) and coronary flow reserve. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Venous Occlusion Plethysmography | At the initial study visit | Lower leg blood flow will be measured with standard venous occlusion plethysmography. |
Countries
United States