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Endothelium is considered a real member, so it is contributing to determine the vascular homeostasis. The presence of endothelial dysfunction, evaluated in peripheral arteries by non-invasive study of the variation of gauge of the brachial artery as a result of post-ischemic hyperemia (FMD), is predictive of occurrence of major cardiovascular events. Several recent studies have shown that passive smoking is correlated with endothelial dysfunction and, therefore, non-smokers exposed subjects to passive smoking, have an increased risk of occurrence cardiovascular pathologies. From January 2008, a ministerial decree will ban smoking in bars, restaurants and nightclubs. The impact of exposure end to smoking in non-smoking subjects, as part of a prospective study and controlled, has never been evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Other | Subjects exposed to passive smoking at least 1 hour per day since 1 year, non active smokers, non exposed to passive smoking at home Subject will receive a complete medical follow-up including : medical examination, medical interrogatory, general bioassay, specific bioassay and endothelial function evaluation |
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| Control | Other | Subjects non expose to passive smoking at home or at work, non active smokers Subject will receive a complete medical follow-up including : medical examination, medical interrogatory, general bioassay, specific bioassay and endothelial function evaluation |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Medical interrogatory | Other | Cardiovascular risk, medical history, known pathologies and actual treatments are evaluated |
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| Measure | Description | Time Frame |
|---|---|---|
| Comparison of Endothelial function between two groups of non smoking workers exposed or not to passive smoking at work before and after interdiction of smoking decree as assessed by mean change in dilatation percentage of brachial artery. | Percentage of dilation of the brachial artery after test ischemia will be compared at the start and at the end of the study (Day 90) | change between Day 0 and Day 90 |
| Measure | Description | Time Frame |
|---|---|---|
| Determination of flow mediated dilatation in non smokers patient as assessed by mean change in dilatation percentage of brachial artery. | change between Day 0 and Day 90 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alessandra BURA-RIVIERE, MD | University Hospital, Toulouse | Principal Investigator |
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| ID | Term |
|---|---|
| D012907 | Smoking |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D000070536 | Independent Medical Evaluation |
| ID | Term |
|---|---|
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
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| Medical examination | Other | Systolic blood pressure, diastolic blood pressure, cardiac frequency, pulse palpation, hearth and pulmonary auscultation |
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| Specific bioassay | Other | Exhaled carbon monoxide measure and nicotine in the urine are evaluated |
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| Endothelial function evaluation | Other | Endothelial function evaluation done by echotracking determining the basale flow mediated dilatation |
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| General bioassay | Other | Fasting bioassay evaluating total cholesterol, low density lipoproteins, high density lipoproteins, triglycerides, creatine, transaminases, gamma glutamyl transferases, fibrinogen, reactive protein C, blood count and sedimentation rate. |
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