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The cardiologist and smoking cessation
Victor Aboyans1, Daniel Thomas, Philippe Lacroix
1Department of Thoracic and Cardiovascular Surgery and Vascular Medicine, Dupuytren University Hospital, Limoges, France. victor.aboyans@unilim.fr
Insights
Smoking cessation significantly benefits cardiovascular disease patients more than other interventions. However, cardiologists show limited interest and commitment to assisting patients with smoking cessation, hindering improved patient survival rates.
Area of Science:
- Cardiology
- Public Health
- Preventive Medicine
Background:
- Smoking is a major modifiable risk factor for cardiovascular disease (CVD) morbidity and mortality globally.
- Smoking cessation offers greater benefits in CVD patients than blood pressure or cholesterol management.
- In-hospital smoking cessation interventions with follow-up are highly cost-effective for improving cardiovascular patient survival.
Purpose of the Study:
- To review the importance of smoking cessation in cardiovascular disease prevention.
- To assess cardiologists' current engagement with smoking cessation assistance for their patients.
- To identify barriers hindering cardiologists' performance in smoking cessation interventions.
Main Methods:
- Review of existing data and surveys on cardiologists' knowledge, interest, and attitudes towards smoking cessation.
- Analysis of current practices regarding smoking cessation assistance and referrals in cardiology.
Main Results:
- Cardiologists demonstrate limited interest and commitment to increasing smoking cessation rates.
- Many cardiologists do not consider smoking cessation assistance a core part of their practice.
- A significant number of cardiologists fail to refer smoking patients to specialized cessation centers.
Conclusions:
- Stronger commitment from cardiologists is essential for effective smoking cessation in cardiovascular prevention.
- Further research is required to understand and overcome barriers to cardiologists' improved clinical performance in smoking cessation.
Purpose Of Review:
Among the modifiable risk factors, smoking contributes strongly to the global epidemics of cardiovascular disease morbidity and mortality. In patients with cardiovascular disease, the benefits of smoking cessation outperform those expected from other preventive strategies such as blood pressure or cholesterol control. In-hospital interventions to assist cardiovascular disease patients with smoking cessation and to provide adequate follow-up are the most cost-effective strategies to improve the survival of the cardiovascular patient.
Recent Findings:
Data on cardiologists' interest in increasing smoking cessation rates are limited and alarming. Surveys assessing the knowledge, interest and attitudes of cardiologists regarding smoking cessation assistance highlight poor commitment to this important preventive practice. For a substantial proportion of cardiologists, smoking-cessation assistance is not included in their core activities and they do not consider themselves as the most appropriate person for this purpose. Disappointingly, many of them never refer their smoking patients to specialized centers and/or teams for appropriate assistance.
Summary:
The substantial benefits of smoking cessation in cardiovascular prevention requires stronger commitment from cardiologists to provide smoking-cessation therapies and counseling. Further research is needed to highlight the barriers to improve clinical performance by cardiologists in this field of prevention.
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