吸烟相关心血管风险:临床医生综述

2009/07/30

    吸烟对心血管危害可能不会像呼吸系统危害那样很快被人们认识。吸烟可以导致猝死、冠心病(心肌梗死)、恶化心脏介入或搭桥手术后的预后、脑血管病、主动脉瘤、外周血管疾病、增加患高血压以及性无能的风险。内科医师应当鼓励和帮助所有的吸烟患者戒烟。通过药物疗法来戒烟是最物有所值的医疗保健干预措施,应当鼓励所有烟草依赖者进行药物干预戒烟。目前的临床实践显示尼古丁替代治疗和安非他酮都能够在心血管疾病的吸烟者中很好地耐受。

(张永明编译 刘国梁审校)
 Eur J Cardiovasc Prev Rehabil. 2006 Aug;13(4):507-514
 

Cardiovascular risks associated with smoking: a review for clinicians.
Tonstad S, Andrew Johnston J.

Department of Preventive Cardiology, Ulleval University Hospital, Oslo, Norway. serena.tonstad@ulleval.no

The cardiovascular consequences of cigarette smoking may not be as readily recognized as the adverse respiratory consequences. Smoking results in sudden death, myocardial infarction, coronary heart disease, worsened outcomes after angioplasty or bypass surgery, cerebrovascular disease, aortic aneurysm, peripheral vascular disease, increased risk of complications of hypertension and impotence. Physicians should encourage and help all their smoking patients to quit. Pharmacotherapy for smoking cessation is one of the most cost-effective healthcare interventions and should be offered to all dependent smokers. Both nicotine replacement and bupropion have been shown to be well tolerated in populations with cardiovascular disease.

PMID: 16874138 [PubMed - indexed for MEDLINE]


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