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Published on: October 22, 2020
Smoking Cessation and Incident Cardiovascular Disease
Jun Hwan Cho1,2, Seung Yong Shin3, Hoseob Kim4
1Division of Cardiology, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, Republic of Korea.
Smoking cessation significantly reduces cardiovascular disease (CVD) risk, especially for light smokers. Heavy ex-smokers may need over 25 years for CVD risk to normalize compared to never-smokers.
Area of Science:
- Cardiovascular Medicine
- Public Health
- Epidemiology
Background:
- The relationship between quitting smoking and cardiovascular disease (CVD) risk, considering cumulative smoking exposure, is not well understood.
- Understanding this association is crucial for public health initiatives and patient counseling.
Purpose of the Study:
- To investigate the link between smoking cessation, cumulative smoking history, and CVD risk.
- To analyze how the time elapsed since quitting influences CVD risk.
Main Methods:
- A retrospective cohort study using the Korean National Health Insurance Service database (2006-2019).
- Categorized participants into current, ex-, and never-smokers based on self-reported habits.
- Tracked smoking status and CVD incidence (cardiovascular death, myocardial infarction, stroke, heart failure) over time.
Main Results:
- A dose-dependent relationship was observed between smoking and incident CVD.
- Ex-smokers with a low cumulative smoking burden (<8 pack-years) showed a significant CVD risk reduction within 10 years, nearing that of never-smokers.
- Heavy ex-smokers (≥8 pack-years) experienced a slower decline in CVD risk, requiring over 25 years to reach levels comparable to never-smokers.
Conclusions:
- Smoking cessation benefits CVD risk, with lighter smokers achieving near-normal risk levels relatively quickly.
- Individuals with a substantial smoking history require a longer period post-cessation for their CVD risk to diminish substantially.
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