Evidence map›Paper›PMID 42613096›Full record

ArticleAmerican journal of physiology. Heart and circulatory physiology2026

Tobacco and marijuana induce adverse effects on cardiac function and platelet activity and reduce tissue preservation following myocardial infarction.

Xiaoyin Wang, Daniel D Han, Huiliang Qiu, Chaitanya Punnati, Natasha Goyal, Alyssa Parangan, Jayita Mukunda, Parmis Tabibiazar, Lam Tran, Kelly Tan and 3 more

Abstract read
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Xiaoyin WangDivision of Cardiology, University of California, San Francisco, California, United States.ORCID 0000-0002-6667-5209
Daniel D HanDivision of Cardiology, University of California, San Francisco, California, United States.ORCID 0000-0001-6742-915X
Huiliang QiuDivision of Cardiology, University of California, San Francisco, California, United States.ORCID 0000-0001-8625-8974
Chaitanya PunnatiDivision of Cardiology, University of California, San Francisco, California, United States.
Natasha GoyalDivision of Cardiology, University of California, San Francisco, California, United States.
Alyssa ParanganDivision of Cardiology, University of California, San Francisco, California, United States.
Jayita MukundaDivision of Cardiology, University of California, San Francisco, California, United States.
Parmis TabibiazarDivision of Cardiology, University of California, San Francisco, California, United States.
Lam TranDivision of Cardiology, University of California, San Francisco, California, United States.
Kelly TanDivision of Cardiology, University of California, San Francisco, California, United States.ORCID 0000-0003-3304-2162
Arailym KamzabekDivision of Cardiology, University of California, San Francisco, California, United States.
Ronak DerakhshandehDivision of Cardiology, University of California, San Francisco, California, United States.
Matthew L SpringerDivision of Cardiology, University of California, San Francisco, California, United States.ORCID 0000-0002-6689-8234

Funding

PROJECT 5: IMPACT OF CHANGING TOBACCO PRODUCT USE ON HEALTHCARE COSTS FOR GENERAL AND VULNERABLE POPULATIONSU54HL147127 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LING, PAMELA MAY · 2018 to 2022
$20.4M
California Tobacco-Related Disease Research Program T29IP0490Elfenworks Foundation in Memory of Deb O'KeefeHHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) U54HL147127NCIRD CDC HHS U18 IP000490NHLBI NIH HHS U54 HL147127
6 · The paper itself

Abstract

Smoking disrupts cardiac autonomic regulation, vascular biology, and platelet function; however, the acute and longer-term cardiovascular effects of resurging and emerging tobacco and marijuana products remain incompletely characterized. We investigated the impact of exposure to smoke and aerosol from several tobacco and marijuana products on cardiac function, platelet activity, and myocardial susceptibility to ischemia-reperfusion myocardial infarction (MI). Male and female Sprague-Dawley rats underwent single or daily 5-min pulsatile exposure sessions to emissions from tobacco cigarettes, e-cigarettes (JUUL), heated tobacco products (IQOS), marijuana cigarettes, or cannabinoid-depleted ("placebo") marijuana cigarettes, with an air negative control. Cardiac function was assessed immediately after single exposure by echocardiography and intraventricular hemodynamics. Platelet aggregation was measured immediately after single exposure and 1 day after repeated (2-wk) exposure. Myocardial infarct size, normalized to area at risk, was assessed following MI after repeated (4-wk) exposure. Single exposure to tobacco smoke or JUUL aerosol reduced left ventricular ejection fraction relative to preexposure. Acute marijuana smoke exposure similarly impaired left ventricular function assessed by hemodynamics. Single exposure to tobacco, marijuana, and placebo marijuana smoke increased collagen-induced platelet aggregation, with more pronounced responses in females, whereas repeated (2-wk) exposure to smoke/aerosol from tobacco cigarettes, JUUL, IQOS, and placebo marijuana increased platelet aggregation across groups. Notably, repeated (4-wk) exposure to tobacco smoke/aerosol or marijuana smoke before MI reduced myocardial tissue preservation, resulting in greater infarct size post MI. These findings indicate that individual tobacco and marijuana smoking and vaping similarly impair cardiac function, enhance platelet reactivity, and reduce myocardial tolerance to ischemia-reperfusion injury.

Indexed as

Marijuana SmokingMyocardial InfarctionMyocardial Reperfusion InjuryMyocardiumPlatelet AggregationTobacco ProductsVentricular Function, LeftAnimalsDisease Models, AnimalElectronic Nicotine Delivery SystemsFemaleMaleRatsRats, Sprague-Dawleycardiac functionmarijuanamyocardial infarctionplatelet aggregationtobacco

Identifiers

PMID42613096
PMCPMC13612139

What OpenQuestion holds

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Registered trials

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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.