Evidence map›Paper›PMID 41532534›Full record

ArticleJournal of the American Heart Association2026

Cardiovascular Risk Among Stroke Survivors With Combustible and Electronic Cigarettes: A Nationwide Study in Korean Men.

Joonsang Yoo, Jimin Jeon, Minyoul Baik, Yun Young Choi, Jinkwon Kim

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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4 · The record

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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

5 authors.

Joonsang YooDepartment of Neurology, Yongin Severance Hospital Yonsei University College of Medicine Yongin Republic of Korea.ORCID 0000-0003-1169-6798
Jimin JeonDepartment of Neurology, Yongin Severance Hospital Yonsei University College of Medicine Yongin Republic of Korea.ORCID 0000-0003-1497-3914
Minyoul BaikDepartment of Neurology, Yongin Severance Hospital Yonsei University College of Medicine Yongin Republic of Korea.ORCID 0000-0002-6582-0953
Yun Young ChoiDepartment of Neurology, Yongin Severance Hospital Yonsei University College of Medicine Yongin Republic of Korea.
Jinkwon KimDepartment of Neurology, Yongin Severance Hospital Yonsei University College of Medicine Yongin Republic of Korea.ORCID 0000-0003-0156-9736

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough use of electronic cigarettes (e-cigarettes) is increasing, its cardiovascular impact remains uncertain, especially among stroke survivors. We compared the incidence of major cardiovascular events in stroke survivors according to cigarette/e-cigarette use.

methodsWe conducted a retrospective cohort study of Korean men with acute stroke who underwent national health checkups within 3 years of the index stroke (2018-2022). The patients were categorized into 4 groups based on their cigarette/e-cigarette use status: nonusers, combustible cigarette users, dual users (both combustible cigarettes and e-cigarettes), and e-cigarette-only users. The primary outcome was a composite of recurrent stroke and myocardial infarction. Multivariable Cox models estimated hazard ratios (HRs) across groups.

resultsOf the 115 240 men with stroke, 89 326 (77.5%) were nonusers, 23 688 (20.6%) were combustible cigarette users, 1498 (1.3%) were dual users, and 728 (0.7%) were e-cigarette-only users. During a mean follow-up of 2.61±1.46 years, 6722 patients suffered primary outcome events (ischemic stroke: 4799; hemorrhagic stroke: 1165; myocardial infarction: 758). Compared with nonusers, the risk of the primary outcome was higher in the combustible cigarette group (HR, 1.35 [95% CI, 1.27-1.43]) and dual users (HR, 1.27 [95% CI, 1.01-1.60]), whereas e-cigarette-only users showed a nonsignificant elevation (HR, 1.11 [95% CI, 0.77-1.59]).

conclusionsAmong Korean male stroke survivors, combustible cigarette use and dual use were associated with higher risk of recurrent stroke or myocardial infarction, whereas e-cigarette-only use was not significantly different from nonuse. Further research is warranted to clarify the long-term cardiovascular effects of e-cigarette use among stroke survivors.

Indexed as

Electronic Nicotine Delivery SystemsMyocardial InfarctionStrokeVapingAgedHeart Disease Risk FactorsHumansIncidenceMaleMiddle AgedRecurrenceRepublic of KoreaRetrospective StudiesRisk AssessmentRisk FactorsSurvivorscardiovascular diseaseelectronic cigarettesmyocardial infarctionsmokingstroke

Identifiers

PMID41532534
PMCPMC12919496

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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 OpenQuestion graph.