Smoking and Vascular Risk: Are All Forms of Smoking Harmful to All Types of Vascular Disease?
public health 127 (2013) 435e441 Available online at www.sciencedirect.com Public Health journal homepage: www.elsevier.com/puhe Original Research Smoking and vascular risk: are all forms of smoking harmful to all types of vascular disease? N. Katsiki a,b, S.K. Papadopoulou c,d, A.I. Fachantidou d, D.P. Mikhailidis a,* a Department of Clinical Biochemistry (Vascular Disease Prevention Clinics), Royal Free Hospital Campus, University College London Medical School, University College London (UCL), Pond Street, London NW3 2QG, UK b First Propedeutic Department of Internal Medicine, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece c Department of Nutrition and Dietetics, Technological Institution of Thessaloniki, Greece d Department of Physical Education, Aristotle University of Thessaloniki, Greece article info abstract Article history: Smoking, both active and passive, is an established vascular risk factor. The present narrative Received 23 August 2011 review considers the effects of different forms of smoking (i.e. cannabis, cigar, pipe, smokeless Received in revised form tobacco and cigarette) on cardiovascular risk. Furthermore, the impact of smoking on several 2 April 2012 vascular risk factors [e.g. hypertension, diabetes mellitus (DM), dyslipidaemia and haemo- Accepted 21 December 2012 stasis] and on vascular diseases such as coronary heart disease (CHD), peripheral arterial Available online 28 February 2013 disease (PAD), abdominal aortic aneurysms (AAA) and carotid arterial disease, is discussed. The adverse effects of all forms of smoking and the interactions between smoking and Keywords: established vascular risk factors highlight the importance of smoking cessation in high- Smoking risk patients in terms of both primary and secondary vascular disease prevention.
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