Evidence map›Paper›PMID 36284091›Full record

ArticleNature communications2022

E-cigarettes and their lone constituents induce cardiac arrhythmia and conduction defects in mice.

Alex P Carll, Claudia Arab, Renata Salatini, Meredith D Miles, Matthew A Nystoriak, Kyle L Fulghum, Daniel W Riggs, Gregg A Shirk, Whitney S Theis, Nima Talebi and 2 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 68 citations in OpenAlex.

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  8. Influence of e-cigarettes and their constituents on cardiac rhythm and arrhythmias.American journal of physiology. Heart and circulatory physiology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 2 countries.

Alex P CarllChristina Lee Brown Envirome Institute, University of Louisville, Louisville, KY, USA. alex.carll@louisville.edu.ORCID 0000-0003-1832-3070
Claudia ArabChristina Lee Brown Envirome Institute, University of Louisville, Louisville, KY, USA.
Renata SalatiniChristina Lee Brown Envirome Institute, University of Louisville, Louisville, KY, USA.
Meredith D MilesChristina Lee Brown Envirome Institute, University of Louisville, Louisville, KY, USA.
Matthew A NystoriakChristina Lee Brown Envirome Institute, University of Louisville, Louisville, KY, USA.ORCID 0000-0001-8872-158X
Kyle L FulghumChristina Lee Brown Envirome Institute, University of Louisville, Louisville, KY, USA.ORCID 0000-0003-0568-3544
Daniel W RiggsChristina Lee Brown Envirome Institute, University of Louisville, Louisville, KY, USA.ORCID 0000-0002-3503-0600
Gregg A ShirkChristina Lee Brown Envirome Institute, University of Louisville, Louisville, KY, USA.
Whitney S TheisChristina Lee Brown Envirome Institute, University of Louisville, Louisville, KY, USA.
Nima TalebiChristina Lee Brown Envirome Institute, University of Louisville, Louisville, KY, USA.
Aruni BhatnagarChristina Lee Brown Envirome Institute, University of Louisville, Louisville, KY, USA.
Daniel J ConklinChristina Lee Brown Envirome Institute, University of Louisville, Louisville, KY, USA.
American Heart Association · USUniversity of Louisville · US

Funding

Research Training and Education Core (Core D) P50HL120163 · NHLBI · AMERICAN HEART ASSOCIATION · PI BUTLER, JAVED · 2013 to 2017
$20.1M
ConProject-006U54HL120163 · NHLBI · AMERICAN HEART ASSOCIATION · PI BHATNAGAR, ARUNI, ROBERTSON, ROSE MARIE · 2018 to 2022
$18.8M
University of Louisville Center for Integrative Environmental Health SciencesP30ES030283 · NIEHS · UNIVERSITY OF LOUISVILLE · PI Amanda Jo LeBlanc · 2020 to 2026
$10.0M
TBDP30GM127607 · NIGMS · UNIVERSITY OF LOUISVILLE · PI JONES, STEVEN P · 2018 to 2022
$6.3M
Systematic identification of cardiotoxic e-cigarette flavorantsR01HL163818 · NHLBI · UNIVERSITY OF LOUISVILLE · PI Alex Perrow Carll, Matthew A Nystoriak · 2022 to 2026
$3.8M
Cardiovascular Toxicity of Tobacco Products and ConstituentsR01HL122676 · NHLBI · UNIVERSITY OF LOUISVILLE · PI CONKLIN, DANIEL JOSEPH · 2015 to 2019
$3.7M
Bioengineered red blood cells as extracellular vesicle-mediated delivery platforms for gene editing machineryUG3HL147353 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GHIRAN, IONITA CALIN · 2018 to 2020
$2.4M
The Role of E-cigarette Characteristics and Constituents in Cardiac Dysfunction--Diversity SupplementR01HL147343 · NHLBI · UNIVERSITY OF LOUISVILLE · PI CARLL, ALEX PERROW · 2019 to 2021
$1.6M
NHLBI NIH HHS P50 HL120163NHLBI NIH HHS R01 HL122676NHLBI NIH HHS R01 HL147343NHLBI NIH HHS R01 HL163818NHLBI NIH HHS U54 HL120163NHLBI NIH HHS UG3 HL147353NIEHS NIH HHS P30 ES030283NIGMS NIH HHS P30 GM127607
6 · The paper itself

Abstract

E-cigarette use has surged, but the long-term health effects remain unknown. E-cigarette aerosols containing nicotine and acrolein, a combustion and e-cigarette byproduct, may impair cardiac electrophysiology through autonomic imbalance. Here we show in mouse electrocardiograms that acute inhalation of e-cigarette aerosols disturbs cardiac conduction, in part through parasympathetic modulation. We demonstrate that, similar to acrolein or combustible cigarette smoke, aerosols from e-cigarette solvents (vegetable glycerin and propylene glycol) induce bradycardia, bradyarrhythmias, and elevations in heart rate variability during inhalation exposure, with inverse post-exposure effects. These effects are slighter with tobacco- or menthol-flavored aerosols containing nicotine, and in female mice. Yet, menthol-flavored and PG aerosols also increase ventricular arrhythmias and augment early ventricular repolarization (J amplitude), while menthol uniquely alters atrial and atrioventricular conduction. Exposure to e-cigarette aerosols from vegetable glycerin and its byproduct, acrolein, diminish heart rate and early repolarization. The pro-arrhythmic effects of solvent aerosols on ventricular repolarization and heart rate variability depend partly on parasympathetic modulation, whereas ventricular arrhythmias positively associate with early repolarization dependent on the presence of nicotine. Our study indicates that chemical constituents of e-cigarettes could contribute to cardiac risk by provoking pro-arrhythmic changes and stimulating autonomic reflexes.

Indexed as

Electronic Nicotine Delivery SystemsAcroleinAerosolsAnimalsArrhythmias, CardiacFemaleGlycerolMentholMiceNicotinePropylene GlycolSolventsVegetablesAcroleinAerosolsGlycerolMentholNicotinePropylene GlycolSolvents

Identifiers

PMID36284091
PMCPMC9596490
OpenAlexW4307210689

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.