Dalkou Sofia, Clair Carole
Policlinique médicale universitaire, 1011 Lausanne.
Medbase Vevey, Rue des Moulins 5, 1800 Vevey.
Rev Med Suisse. 2017 Jun 7;13(566):1186-1190.
It is well known that tobacco smoking increases cardiovascular (CV) mortality and morbidity, however, smoking cessation is often neglected compared to other CV risk factors. Behavioral counseling as well as smoking cessation treatments are efficient and do not increase the risk of CV events when used for a defined duration. Electronic nicotine delivery systems (ENDS) contain potentially cardiotoxic substances but in lower concentrations than in cigarettes. The CV effect of ENDS is to date difficult to assess and depends on the type of device used and its mode of consumption. For smokers with a known CV disease who have quit smoking using ENDS, it is recommended that they stop using them as soon as they have stabilized.
众所周知，吸烟会增加心血管疾病（CV）的死亡率和发病率，然而，与其他心血管危险因素相比，戒烟往往被忽视。行为咨询以及戒烟治疗是有效的，在规定的使用期限内使用不会增加心血管事件的风险。电子尼古丁传送系统（ENDS）含有潜在的心脏毒性物质，但其浓度低于香烟。迄今为止，ENDS对心血管的影响难以评估，这取决于所使用的设备类型及其消费模式。对于已知患有心血管疾病且已使用ENDS戒烟的吸烟者，建议他们一旦病情稳定就尽快停止使用。
