Environmental Tobacco Smoke and Atrial Fibrillation: The REasons for Geographic And Racial Differences in Stroke (REGARDS) Study.

O'Neal, Wesley T; Qureshi, Waqas T; Judd, Suzanne E; McClure, Leslie A; Cushman, Mary; Howard, Virginia J; Howard, George; Soliman, Elsayed Z · J Occup Environ Med · 2015

cross_sectional · Level IV

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Abstract

This study examines the association between environmental tobacco smoke (ETS) exposure and atrial fibrillation (AF). We examined the cross-sectional association between ETS exposure and AF in 12,021 participants (mean age: 65 ± 9.9 years; 60% women; 40% blacks) from the REasons for Geographic And Racial Differences in Stroke study who self-identified as never smokers between 2003 and 2007. A total of 2503 (21%) participants reported ETS exposure. In a multivariate logistic regression model adjusted for sociodemographics and potential confounders, ETS exposure was significantly associated with AF (odds ratio = 1.27, 95% confidence interval = 1.08, 1.50). Our findings suggest that the harmful effects of ETS exposure extend to sustained arrhythmias such as AF.

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