Nikodemowicz Marian
Przegl Lek. 2007;64 Suppl 4:42-4.
Smoking is a very popular habit of inhaling tobacco smoke. Toxic components of the tobacco smoke are being distributed throughout the whole organism by means of circulation. Nicotine, carbon monoxide, free radicals and cytokines fundamentally influence circulation. These components cause creation of atherosclerotic plaque and its destabilization. These processes make smoking the most important single risk factor in coronary artery disease, sudden cardiac death, ischemic stroke, aortic aneurysm formation, peripheral vascular disease and Buerger disease. It must be also said this factor might be possibly removed. Epidemiologic examinations confirm that The INTERHEART study showed strongly growing dependence between the number of cigarettes smoked during the day and night and the risk of coronary heart attack. In order to lower the risk we should mobilize all preventive actions which would protect us from smoking and addiction. But for those who are already chain smokers we should apply behavior therapy or eventually use drugs which are scientifically proved to be effective.
吸烟是一种非常普遍的吸入烟草烟雾的习惯。烟草烟雾中的有毒成分通过血液循环分布于整个机体。尼古丁、一氧化碳、自由基和细胞因子对循环系统有根本性影响。这些成分会导致动脉粥样硬化斑块的形成及其不稳定。这些过程使吸烟成为冠状动脉疾病、心源性猝死、缺血性中风、主动脉瘤形成、外周血管疾病和血栓闭塞性脉管炎最重要的单一危险因素。还必须指出的是，这个因素有可能被消除。流行病学检查证实，INTERHEART研究表明，白天和晚上吸烟的数量与冠心病发作风险之间的相关性在急剧增加。为了降低风险，我们应该采取一切预防措施来保护自己不吸烟和不上瘾。但对于那些已经是重度吸烟者的人，我们应该采用行为疗法，或者最终使用经科学证明有效的药物。
