戒烟与心血管专家：加拿大心血管学会建议书
2011/06/17
摘要
烟草依赖是造成加拿大可预防性疾病发病、残疾和死亡的主要原因，也是可调节性心血管危险因素的最重要因素。烟草依赖是导致冠心病(CAD)及其并发症（包括心源性猝死、急性心梗和心衰）的主要原因。因此，烟草依赖的预防和治疗具有重要意义。事实上，30%的CAD死亡由吸烟所导致。对于每个心血管疾病机构，需要鉴别和描述所有患者的吸烟状态，并提供戒烟措施。鉴别吸烟者并对吸烟进行治疗，能显著增加戒烟的可能性，在预防CAD进展的所有措施中也是最符合成本-效益原理的。加拿大心血管学会的观点是，对于每个医疗机构，包括私人诊所、门诊和医院，应该鉴别吸烟患者，并对其提供针对性帮助，以启动戒烟。基于戒烟的重要性，给吸烟者提供清晰的、非主观的建议，对于吸烟的临床患者启动戒烟帮助，应该是每个心血管科医生的基本责任。所有心血管专家必须熟悉戒烟的原则和方法。心血管疾病专家熟悉采用药物治疗启动戒烟具有重要意义，因为这些专家常采用药物治疗高血压和高脂血症。
（陈欣 审校）
Can J Cardiol. 2011 Mar-Apr;27(2):132-7.
Smoking cessation and the cardiovascular specialist: canadian cardiovascular society position paper.
Pipe AL, Eisenberg MJ, Gupta A, Reid RD, Suskin NG, Stone JA.
Minto Prevention & Rehabilitation Centre, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Abstract
Tobacco addiction is the leading cause of preventable disease, disability, and death in Canada and is the most significant of the modifiable cardiovascular risk factors. Tobacco addiction is a principal contributor to the development of coronary artery disease (CAD) and its consequences, including sudden cardiac death, acute myocardial infarction, and heart failure. Its prevention and treatment should be accorded high priority. In fact, 30% of all CAD deaths are attributable to smoking. The identification and documentation of the smoking status of all patients, and the provision of cessation assistance, should be a priority in every cardiovascular setting. Systematic approaches to the identification and treatment of smokers can dramatically enhance the likelihood of cessation-the most cost-effective of all the interventions to prevent the development or progression of CAD. It is the view of the Canadian Cardiovascular Society that all patients in every medical setting-private office, outpatient clinic, or hospital-should have their smoking status systematically identified and documented and be offered specific assistance in initiating a cessation attempt. The provision of unambiguous, nonjudgemental advice regarding the importance of cessation and assistance with the initiation of a smoking cessation attempt should be seen as a fundamental responsibility of any cardiovascular clinician who encounters smokers in any setting. All cardiovascular specialists should be familiar with the principles and practice of smoking cessation. It is important for cardiovascular specialists to be as familiar with the initiation of smoking-cessation pharmacotherapy as they are with the pharmacological management of hypertension and hyperlipidemia.
Can J Cardiol. 2011 Mar-Apr;27(2):132-7.
烟草依赖是造成加拿大可预防性疾病发病、残疾和死亡的主要原因，也是可调节性心血管危险因素的最重要因素。烟草依赖是导致冠心病(CAD)及其并发症（包括心源性猝死、急性心梗和心衰）的主要原因。因此，烟草依赖的预防和治疗具有重要意义。事实上，30%的CAD死亡由吸烟所导致。对于每个心血管疾病机构，需要鉴别和描述所有患者的吸烟状态，并提供戒烟措施。鉴别吸烟者并对吸烟进行治疗，能显著增加戒烟的可能性，在预防CAD进展的所有措施中也是最符合成本-效益原理的。加拿大心血管学会的观点是，对于每个医疗机构，包括私人诊所、门诊和医院，应该鉴别吸烟患者，并对其提供针对性帮助，以启动戒烟。基于戒烟的重要性，给吸烟者提供清晰的、非主观的建议，对于吸烟的临床患者启动戒烟帮助，应该是每个心血管科医生的基本责任。所有心血管专家必须熟悉戒烟的原则和方法。心血管疾病专家熟悉采用药物治疗启动戒烟具有重要意义，因为这些专家常采用药物治疗高血压和高脂血症。
（陈欣 审校）
Can J Cardiol. 2011 Mar-Apr;27(2):132-7.
Smoking cessation and the cardiovascular specialist: canadian cardiovascular society position paper.
Pipe AL, Eisenberg MJ, Gupta A, Reid RD, Suskin NG, Stone JA.
Minto Prevention & Rehabilitation Centre, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Abstract
Tobacco addiction is the leading cause of preventable disease, disability, and death in Canada and is the most significant of the modifiable cardiovascular risk factors. Tobacco addiction is a principal contributor to the development of coronary artery disease (CAD) and its consequences, including sudden cardiac death, acute myocardial infarction, and heart failure. Its prevention and treatment should be accorded high priority. In fact, 30% of all CAD deaths are attributable to smoking. The identification and documentation of the smoking status of all patients, and the provision of cessation assistance, should be a priority in every cardiovascular setting. Systematic approaches to the identification and treatment of smokers can dramatically enhance the likelihood of cessation-the most cost-effective of all the interventions to prevent the development or progression of CAD. It is the view of the Canadian Cardiovascular Society that all patients in every medical setting-private office, outpatient clinic, or hospital-should have their smoking status systematically identified and documented and be offered specific assistance in initiating a cessation attempt. The provision of unambiguous, nonjudgemental advice regarding the importance of cessation and assistance with the initiation of a smoking cessation attempt should be seen as a fundamental responsibility of any cardiovascular clinician who encounters smokers in any setting. All cardiovascular specialists should be familiar with the principles and practice of smoking cessation. It is important for cardiovascular specialists to be as familiar with the initiation of smoking-cessation pharmacotherapy as they are with the pharmacological management of hypertension and hyperlipidemia.
Can J Cardiol. 2011 Mar-Apr;27(2):132-7.
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戒烟对老年患者疼痛的影响
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戒烟和体重增加对血浆脂联素水平和胰岛素抵抗的早期影响
