title: [Smoking and cardiovascular diseases].
abstract: Smoking is a major cardiovascular risk factor and smoking cessation is essential in any approach to cardiovascular prevention. Events occurring wthout any threshold of intensity or duration of consumption, smoking is the essential and often isolated factor in the acute coronary events of the young subjects. The mechanisms involved are mainly thrombosis and spasm. Smoking cessation provides a rapid and very important cardiovascular benefit and has the best cost/benefit ratio for cardiovascular prevention. The main objective is an early, total and definitive cessation. Nicotine replacement therapy can be prescribed in patients with coronary artery disease, including immediately after a myocardial infarction. Passive smoking must also be considered as a cardiovascular risk factor and should be avoided by collective and individual measures.
authors.affiliation: Département de cardiologie médicale, institut de cardiologie, Groupe hospitalier La Pitié-Salpêtrière, AP-HP, 75651 Paris Cedex 13. daniel.thomas@psl.aphp.fr
authors.forename: Daniel
authors.initials: D
authors.lastname: Thomas
mesh_terms: D002318:Cardiovascular Diseases / Q000209:etiology*; D006801:Humans; D018570:Risk Assessment; D012907:Smoking / Q000009:adverse effects*; D016540:Smoking Cessation; D013927:Thrombosis / Q000209:etiology