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January 16, 2002

Effects of Passive Smoking on Coronary Circulation

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor

JAMA. 2002;287(3):316-317. doi:10.1001/jama.287.3.313

To the Editor: Dr Otsuka and colleagues1 found that passive smoking has harmful effects on the coronary endothelial function in healthy young nonsmoking adults after as few as 30 minutes. We are disappointed, however, that the secondhand smoke exposure was not more clearly quantified. Apart from describing the size of the smoking room and the fact that some individuals were smoking, the authors did not estimate the amount of exposure to environmental tobacco smoke. They did not describe the number of smokers or the number of cigarettes smoked in the room before or when the subjects were exposed. They similarly gave no information about the ventilation system.

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