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Updated: Sep 10, 2025

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癌症诊断后的吸烟行为变化和心血管疾病风险:全国性队列研究
In Young Cho1,2, Jinhyung Jung3, Wonyoung Jung4
1Department of Family Medicine and Supportive Care Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
概括
癌症诊断后戒烟显著降低了主要心血管疾病 (CVD) 的风险,包括心脏病发作和中风. 对于癌症幸存者来说,强调戒烟对于改善心血管健康至关重要.
科学领域:
- 心血管医学
- 癌症学
- 公共卫生
背景情况:
- 癌症幸存者面临心血管疾病 (CVD) 的风险增加,因为癌症治疗和检测的进展导致了更高的生存率.
- 了解生活方式因素的影响,例如吸烟行为变化,对于治疗癌症幸存者的长期健康结果至关重要.
研究的目的:
- 研究吸烟行为变化与癌症幸存者的特定心血管结果发生率之间的关联.
- 评估与持续吸烟,戒烟以及癌症诊断后吸烟开始/复发有关的心血管风险.
主要方法:
- 一项回顾性队列研究分析了2010年至2016年间诊断的269,917名癌症幸存者.
- 根据诊断前和后的健康检查,吸烟行为被分为持续的非吸烟者,戒烟者,开始者/复发者和持续吸烟者.
- 幸存者在发生心肌梗塞 (MI),缺血性中风 (IS),心力衰竭 (HF) 和心房动 (AF) 的情况下一直被跟踪到2019年.
主要成果:
- 与持续不吸烟者相比,持续吸烟者对MI (1.64),IS (1.61),HF (1.55) 和AF的调整风险比率 (aHR) 显著更高.
- 与持续吸烟相比,癌症诊断后戒烟与这些心血管事件的风险较低有关.
- 与持续的非吸烟者相比,开始吸烟者/复发者也有较高的MI (1.53) 和HF (1.28) 风险.
结论:
- 癌症诊断后戒烟与心血管重大不良事件的风险降低有关,包括心脏病发作,心脏病发作,心脏病发作和心脏病发作.
- 整合整个癌症治疗连续性的戒烟支持,特别是诊断时,对于减轻幸存者的心血管风险至关重要.
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