Urinary cotinine measurement in patients with Buerger's disease—Effects of active and passive smoking on the disease process Masahiro Matsushita, MD,

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Presentation transcript:

Urinary cotinine measurement in patients with Buerger's disease—Effects of active and passive smoking on the disease process Masahiro Matsushita, MD, Shigehiko Shionoya, MD, Takatoshi Matsumoto, MD Journal of Vascular Surgery Volume 14, Issue 1, Pages 53-58 (July 1991) DOI: 10.1016/0741-5214(91)90154-M Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Urinary nicotine levels (left) and cotinine levels (right) of nonsmokers and smokers, in healthy control subjects. There were significant differences between the two groups (p < 0.01). Cotinine levels discriminate between smokers and nonsmokers more distinctly than nicotine levels do. Journal of Vascular Surgery 1991 14, 53-58DOI: (10.1016/0741-5214(91)90154-M) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Urinary cotinine levels in smokers. Smokers were classified into four groups on the basis of self-reported cigarette consumption. Urinary cotinine levels roughly correlated to daily cigarette consumption. Journal of Vascular Surgery 1991 14, 53-58DOI: (10.1016/0741-5214(91)90154-M) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Urinary nicotine (broken line) and cotinine (solid line) excretion over time. After active smoking (above), and after high involuntary exposure to smoke (below), in a healthy nonsmoker. Cotinine levels decreased more slowly than nicotine levels did. Journal of Vascular Surgery 1991 14, 53-58DOI: (10.1016/0741-5214(91)90154-M) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Urinary cotinine levels. Patients were divided into two groups according to their statements about their smoking habits. Regardless of their claims, they were classified as smokers if they had urinary cotinine levels above 50 ng/mg creatinine. Journal of Vascular Surgery 1991 14, 53-58DOI: (10.1016/0741-5214(91)90154-M) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Urinary cotinine levels of nonsmokers without involuntary exposure to smoking and nonsmokers with involuntary exposure to smoking. There was a significant difference between the two groups (p < 0.01). Journal of Vascular Surgery 1991 14, 53-58DOI: (10.1016/0741-5214(91)90154-M) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Urinary cotinine levels and the course of Buerger's disease. There were significant differences in aggravation between the smokers' group and the other two groups, but no significant differences were found between passive smokers and nonsmokers without noticeable passive smoking. Three (asterisks) of the four nonsmokers with aggravated conditions stated that they had been smoking at the time of worsening of the disease. Journal of Vascular Surgery 1991 14, 53-58DOI: (10.1016/0741-5214(91)90154-M) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions