A small part of the risk for adult atrial fibrillation was associated with the tendency of smokers' children to become smokers themselves as adults, the study team notes in the Journal of the American College of Cardiology. "Smoking may have unintended and unanticipated downstream harms that have not previously been considered as part of the actual total negative consequences of smoking," said Dr Gregory Marcus, senior author of the study and an atrial fibrillation researcher at the University of California, San Francisco.
"These findings demonstrate how parental behaviors and exposures can meaningfully influence their children in ways that may not become apparent until late in adulthood," Marcus said by email. For the study, researchers examined data on 2,816 children and at least one of their parents. Overall, 82% of the kids were exposed to secondhand smoke by a parent at some point during childhood.
A total of 404 kids, or 14.3%, developed atrial fibrillation after researchers followed half of the children for at least four decades. Exposure to secondhand smoke from parents was also associated with a 34% higher risk that children would become smokers, researchers report in the Journal of the American College of Cardiology. And, becoming a smoker explained about 17% of the increased atrial fibrillation risk tied to parental smoking.