Imaging with echocardiograms show changes in the ventricular structure in older smokers.
Echocardiographic imaging shows signs of subtle thickening in left ventricular structure in the hearts of elderly patients who smoke, according to a study published in the Circulation: Cardiovascular Imaging.
Researchers from Portugal and the United States evaluated the relationship between smoking and echocardiographic measures among 4,580 elderly subjects who were free of overt coronary heart disease or heart failure, and who were participating in the Atherosclerosis Risk in Communities (ARIC) study.
The subjects were classified into three categories, based on self-reported smoking habits:
• Never smokers (43.2%)
• Former smokers (50%)
• Current smokers (6.3%)
All subjects underwent testing for hypertension, diabetes, coronary artery disease, heart failure, low-density and high-density lipoprotein cholesterol levels, and echocardiography. Alcohol consumption was also recorded.
The results showed that compared with never smokers, current smokers had noticeable cardiac structure differences:
Former smokers showed similar echocardiographic features when compared with never smokers. In addition, estimated pack-years and years of smoking, and measures of cumulative cigarette exposure, were associated with greater LV mass index, LV mass/volume ratio, and worse diastolic function (higher E/E′ ratio) in current smokers after multivariable analysis.[[{"type":"media","view_mode":"media_crop","fid":"52096","attributes":{"alt":"Cigarette","class":"media-image media-image-right","id":"media_crop_9053214384867","media_crop_h":"0","media_crop_image_style":"-1","media_crop_instance":"6456","media_crop_rotate":"0","media_crop_scale_h":"0","media_crop_scale_w":"0","media_crop_w":"0","media_crop_x":"0","media_crop_y":"0","style":"height: 170px; width: 170px; border-width: 0px; border-style: solid; margin: 1px; float: right;","title":"©BestVector083/Shutterstock.com","typeof":"foaf:Image"}}]]
“We found that active smoking and cumulative cigarette exposure were associated with higher LV mass, LV mass/volume ratio, and worse diastolic function in an elderly, community-based population free of overt coronary artery disease and heart failure,” the authors wrote. “These findings suggest that active smoking is associated with subtle alterations in LV structure and function, which might help explain the higher risk of heart failure reported for smokers independent of coronary artery disease.”
Stay at the forefront of radiology with the Diagnostic Imaging newsletter, delivering the latest news, clinical insights, and imaging advancements for today’s radiologists.
The Reading Room Podcast: A Closer Look at Remote MRI Safety, Part 3
August 2nd 2025In the third of a three-part podcast episode, Emanuel Kanal, M.D. and Tobias Gilk, MRSO, MRSE, discuss strategies for maintaining the integrity of time-out procedures and communication with remote MRI scanning.
Stroke MRI Study Assesses Impact of Motion Artifacts Upon AI and Radiologist Lesion Detection
August 2nd 2025Noting a 7.4 percent incidence of motion artifacts on brain MRI scans for suspected stroke patients, the authors of a new study found that motion artifacts can reduce radiologist and AI accuracy for detecting hemorrhagic lesions.
The Reading Room Podcast: A Closer Look at Remote MRI Safety, Part 2
August 2nd 2025In the second of a multi-part podcast episode, Emanuel Kanal, M.D. and Tobias Gilk, MRSO, MRSE, share their perspectives on remote MRI safety protocols for ensuring screening accuracy and adherence to conditional implant guidelines as well as a rapid and effective response to adverse events.