Evaluation of Hookah Smoking-Induced Hemodynamic Changes According to the PVI

Abstract

Aim: Hookah smoking is increasing all over the world, and it can cause many health problems that are rarely known to be experienced by smokers. The aim of this study was to evaluate the acute impact of hookah smoking on hemodynamic parameters using perfusion index (PI) and pleth variability index (PVI). Materials and Methods: This prospective observational study was conducted in a hookah cafe with 84 participants. Systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse, oxygen saturation (SpO2), carboxyhemoglobin (COHb) PI, and PVI values of the participants were measured immediately before and 30 min after hookah smoking. Results: Sixty-three (75%) participants were male, and the median age was 26 [interquartile range (IQR) 22-29]. There were no significant changes in SBP, DBP, pulse, and SpO2 following hookah smoking. There was a 2% (IQR 2-3) increase in COHb level (p<0.001) and a 1.4% (IQR 0.6-0.4) decrease in PI value (p=0.02) with hookah smoking. No difference was detected in PVI value with hookah smoking (p=0.3). Conclusion: Hookah smoking caused a significant decrease in the PI and an increase in COHb levels. Conversely, PVI did not change with hookah smoking. It should be known that hookah is a harmful, not innocent, tobacco product that can cause many hemodynamic changes.

Keywords

• hookah
• carbon monoxide
• carboxyhemoglobin
• pvi
• perfusion index