Weil J, Stritzke J, Schunkert H
Medizinische Klinik 2, Universitätsklinik Schleswig-Holstein, Campus Lübeck, Lübeck, Deutschland.
Internist (Berl). 2012 Jan;53(1):45-50. doi: 10.1007/s00108-011-2892-6.
Smoking is the most frequent cause of avoidable premature death. Annually, almost 6 million people die due to nicotine consumption. Comparing modifiable cardiovascular risk factors, smoking has the strongest impact on cardiovascular mortality. More than 50% of all premature myocardial infarctions are related to nicotine consumption. Even in patients with known coronary disease receiving optimal medical therapy, there is a remarkable additional preventive effect of smoking cessation detectable. Therefore, smoking cessation is an essential component of primary and secondary prevention strategies. Smoking cessation programs applying a combination of behavior therapy and supporting medical treatment have been demonstrated to be the most effective.
吸烟是可避免的过早死亡的最常见原因。每年,近600万人死于尼古丁消费。在可改变的心血管危险因素中,吸烟对心血管死亡率的影响最大。所有过早心肌梗死中超过50%与尼古丁消费有关。即使在接受最佳药物治疗的已知冠心病患者中,戒烟也有显著的额外预防效果。因此,戒烟是一级和二级预防策略的重要组成部分。应用行为疗法和辅助药物治疗相结合的戒烟计划已被证明是最有效的。