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Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1985 Sep;38(9):978–984. doi: 10.1136/jcp.38.9.978

Haematological and haemorheological changes associated with cigarette smoking.

G Galea, R J Davidson
PMCID: PMC499345  PMID: 4044879

Abstract

A prospective study was undertaken to establish the haematological and haemorheological changes associated with long standing cigarette smoking in 20 heavy smokers and to assess whether any such changes were reversible after smoking was stopped. Highly significant differences were observed in whole blood viscosity, plasma viscosity, plasma fibrinogen concentrations, packed cell volume, and carboxyhaemoglobin concentrations between smokers and non-smokers. Ten of the subjects were followed up for two weeks after stopping smoking by which time whole blood viscosity and carboxyhaemoglobin concentrations had improved significantly and indications of improvement could be seen in all other measurements. Two of these subjects were further followed up for two months when all the measured variables were comparable with those in non-smokers. No correlation could be established between carboxyhaemoglobin concentration and any of the other variables. Although patients' compliance may be difficult to obtain, further prospective studies would be required to confirm our findings.

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Selected References

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  1. Alderman M. J., Ridge A., Morley A. A., Ryall R. G., Walsh J. A. Effect of total leucocyte count on whole blood filterability in patients with peripheral vascular disease. J Clin Pathol. 1981 Feb;34(2):163–166. doi: 10.1136/jcp.34.2.163. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Chait L. D., Griffiths R. R. Smoking behavior and tobacco smoke intake: response of smokers to shortened cigarettes. Clin Pharmacol Ther. 1982 Jul;32(1):90–97. doi: 10.1038/clpt.1982.131. [DOI] [PubMed] [Google Scholar]
  3. Chmiel H., Effert S., Mathey D. Rheologische Veränderungen des Blutes beim akuten Herzinfarkt und dessen Risikofaktoren. Dtsch Med Wochenschr. 1973 Sep 7;98(36):1641–1646. doi: 10.1055/s-0028-1107100. [DOI] [PubMed] [Google Scholar]
  4. Dintenfass L. Elevation of blood viscosity, aggregation of red cells, haematocrit values and fibrinogen levels with cigarette smokers. Med J Aust. 1975 May 17;1(20):617–620. [PubMed] [Google Scholar]
  5. Hill P., Haley N. J., Wynder E. L. Cigarette smoking: carboxyhemoglobin, plasma nicotine, cotinine and thiocyanate vs self-reported smoking data and cardiovascular disease. J Chronic Dis. 1983;36(6):439–449. doi: 10.1016/0021-9681(83)90136-4. [DOI] [PubMed] [Google Scholar]
  6. Ho-Yen D. O., Spence V. A., Moody J. P., Walker W. F. Why smoke fewer cigarettes? Br Med J (Clin Res Ed) 1982 Jun 26;284(6333):1905–1907. doi: 10.1136/bmj.284.6333.1905. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Isager H., Hagerup L. Relationship between cigarette smoking and high packed cell volume and haemoglobin levels. Scand J Haematol. 1971;8(4):241–244. doi: 10.1111/j.1600-0609.1971.tb00870.x. [DOI] [PubMed] [Google Scholar]
  8. Jenkins P. J., Harper R. W., Nestel P. J. Severity of coronary atherosclerosis related to lipoprotein concentration. Br Med J. 1978 Aug 5;2(6134):388–391. doi: 10.1136/bmj.2.6134.388. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Lowe G. D., Drummond M. M., Forbes C. D., Barbenel J. C. The effects of age and cigarette-smoking on blood and plasma viscosity in men. Scott Med J. 1980 Jan;25(1):13–17. doi: 10.1177/003693308002500103. [DOI] [PubMed] [Google Scholar]
  10. Lowe G. D., Drummond M. M., Forbes C. D., Barbenel J. C. The effects of age and cigarette-smoking on blood and plasma viscosity in men. Scott Med J. 1980 Jan;25(1):13–17. doi: 10.1177/003693308002500103. [DOI] [PubMed] [Google Scholar]
  11. Markman M. Falling hematocrit value on cessation of smoking. JAMA. 1981 Apr 3;245(13):1314–1314. [PubMed] [Google Scholar]
  12. Norton J. M., Rand P. W. Decreased deformability of erythrocytes from smokers. Blood. 1981 Apr;57(4):671–674. [PubMed] [Google Scholar]
  13. Ogston C. M., Ogston D. Plasma fibrinogen and plasminogen levels in health and in ischaemic heart disease. J Clin Pathol. 1966 Jul;19(4):352–356. doi: 10.1136/jcp.19.4.352. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Reid H. L., Barnes A. J., Lock P. J., Dormandy J. A., Dormandy T. L. A simple method for measuring erythrocyte deformability. J Clin Pathol. 1976 Sep;29(9):855–858. doi: 10.1136/jcp.29.9.855. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Rieger H. J. Chefarztnachfolgeklauseln in Verträgen mit Oberärzten. Dtsch Med Wochenschr. 1978 Feb 24;103(8):329–330. [PubMed] [Google Scholar]
  16. Sutton S. R., Russell M. A., Iyer R., Feyerabend C., Saloojee Y. Relationship between cigarette yields, puffing patterns, and smoke intake: evidence for tar compensation? 1982 Aug 28-Sep 4Br Med J (Clin Res Ed) 285(6342):600–603. doi: 10.1136/bmj.285.6342.600. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Wald N. J., Idle M., Boreham J., Bailey A. Inhaling habits among smokers of different types of cigarette. Thorax. 1980 Dec;35(12):925–928. doi: 10.1136/thx.35.12.925. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Zahran F., Yousef A. A., Baig M. H. A study of carboxyhaemoglobin levels of cigarette and sheesha smokers in Saudi Arabia. Am J Public Health. 1982 Jul;72(7):722–724. doi: 10.2105/ajph.72.7.722. [DOI] [PMC free article] [PubMed] [Google Scholar]

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