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For those who smoke, strokes and heart attacks come without warning

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Stop smoking. Or rather, don’t start. To re-launch the warning, with an eye to heart and brain health, is a large American study that reports truly significant conclusions. Not only do cigarettes shorten life and damage the cardiovascular system, but even in smokers a heart attack or stroke is more likely to be the first manifestation of pain in the arteries. Without notice. Even in middle age. Thus, the first sign of coronary artery and carotid artery disease can more easily become fatal in smokers. In short: smoking is not only a risk factor for the cardiovascular system, but also appears as a sort of “detonator” capable of inducing a dramatic reaction, almost doubling the possibility that as soon as it manifests its effects there is nothing to do. So much for check ups and possible preventive checks.

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To warn once more about the dangerous effects of compounds present in cigarettes is a research by the experts of theNorthwestern University of Chicago, published on Journal of the American Heart Association. The analysis took data from nine long-term studies involving over 106,000 people, from the youngest (around 20 years old) to nearly octogenarians. All at the start of observation had no long-term pathologies and were followed up for an observation period ranging from 10 to 25 years.

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Several data that are striking from the survey and that should lead to extinguish the cigarette forever: first of all, those who smoke first manifest the signs of heart and arterial pathologies. In fact, smoking appears to be related to an early onset of cardiovascular diseases, which, in male smokers, occur 5.1 years earlier, while in females 3.8 years earlier. In addition, smokers had a higher risk of having cardiovascular disease, even at a younger age than their peers who did not have the addiction. Between the ages of 40 and 59, more than half of smokers became ill, almost twice as likely as non-smokers of the same age to die from heart attack or stroke.

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But there is also one last, very bad surprise. In smokers, the possibility is greatly increased that fatal cardiovascular events such as stroke and heart attack occur without any warning signs. And with no specific gender differences: middle-aged smokers are nearly twice as likely to have a fatal event as the first sign of heart disease compared to women in that age group without the habit. Among males, the specific risk of fatal ischemic attack was one and a half times higher in middle age for smokers than for non-smokers.

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“The study is important because it sheds light on what we already see as interventional cardiologists: we know well that male smokers before the age of 40 can suffer from heart attacks, even fatal – he reports Carlo Tumscitz, who works at the Cardiology Center ofUniversity of Ferrara. It should also be remembered that the protective effect of female hormones in women smokers only lasts until middle age, years in which the risk of fatal events becomes even higher than in men. This is why we need to think about health early and not after the first cardiovascular accident as we often see our patients do. Let us all commit ourselves: to reflect from an early age on the possible harm of smoking “.

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To echo this call, one last fact emerges clearly from the study: the sooner you start, the worse it is. According to the study, young smokers are at risk of having the highest long-term risk of heart attack (24%), while young smokers had a higher long-term risk (11.3%) for other causes of death following stroke or heart failure. cardiac. “Smoking can kill with heart disease before a person even realizes they are sick – reports the first signer of the study Sadia Khan. Most people are aware of the risks of lung cancer from smoking, but many people who smoke do not realize that they are more likely to die from cardiovascular disease than lung cancer. ”

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