Does smokeless tobacco cause hypertension?
This article reviews the literature regarding the cardiovascular effects of smokeless tobacco use. Articles were identified using a MEDLINE search of the English-language literature from 1966 to 1992 and a manual search of bibliographies of identified articles. From 875 articles regarding smokeless tobacco, 12 pertinent articles were identified. Smokeless tobacco caused a clinically significant acute elevation of systolic blood pressure, diastolic blood pressure, or pulse in 5 of 6 experimental trials. Smokeless tobacco was weakly associated with chronic hypertension in 4 of 6 cross-sectional studies. Health care practitioners should be aware that smokeless tobacco may elevate blood pressure up to 90 minutes after use. Smokeless tobacco use should be considered a potential cause of sodium retention and poor blood pressure control because of its nicotine, sodium, and licorice content.
Duke Scholars
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- Tobacco, Smokeless
- Sodium
- Plants, Toxic
- Plants, Medicinal
- Nicotine
- MEDLINE
- Hypertension
- Humans
- Glycyrrhiza
- General & Internal Medicine
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Tobacco, Smokeless
- Sodium
- Plants, Toxic
- Plants, Medicinal
- Nicotine
- MEDLINE
- Hypertension
- Humans
- Glycyrrhiza
- General & Internal Medicine