[Cardiovascular benefits of smoking cessation].
Smoking is a major cardiovascular risk factor. Its cardiovascular impact is often underestimated. It is the essential and often unique factor for acute coronary syndromes in young adults. It intervenes without threshold of intensity or duration of consumption. The mechanisms are primarily thrombosis and spasm. Smoking cessation can bring a fast and very important cardiovascular benefit. It has the best cost/effectiveness ratio in cardiovascular prevention. This aspect of cardiovascular prevention is still too often neglected. Tobacco consumption must systematically be sought and precisely documented. The essential aim is to quit smoking totally, definitively and as early as possible. Modern methods of smoking cessation must be proposed to all the smokers. Nicotinic replacement therapy can be used in coronary patients even just after a myocardial infarction. A long follow-up and a particular support must be proposed to all ex smokers.
Thomas
Daniel
D
Institut de cardiologie, Département de cardiologie médicale, Groupe hospitalier Pitié-Salpêtrière, F-75651 Paris Cedex 13, France. daniel.thomas@psl.aphp.fr
D000359:Aftercare; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control*; D002423:Cause of Death; D003362:Cost-Benefit Analysis; D006301:Health Services Needs and Demand; D006801:Humans; D011322:Primary Prevention; D012307:Risk Factors; D040242:Risk Reduction Behavior; D055502:Secondary Prevention; D012907:Smoking / Q000009:adverse effects; D016540:Smoking Cessation / Q000191:economics / Q000379:methods / Q000706:statistics & numerical data; D000074606:Smoking Prevention; D012944:Social Support; D013997:Time Factors; D016896:Treatment Outcome