1Hospital Universitario La Paz-Department of Cardiology, Madrid, Spain
2School Of Medicine Department of Preventive Medicine and Public Health, Barcelona, Spain
3Medical Department Pfizer, Madrid, Spain
Introduction and Objective: Smoking is a key cardiovascular risk factor. The potential contributory effect of smoking cessation to survival and quality of life of cardiovascular patients in daily clinical practice in Spain is not known. The objective of the study is to assess the Cardiovascular risk for a smoker who attends to a Spanish primary care setting based on the Score model and loss in life expectancy attributable to tobacco smoking.
Methods: Non-interventional study performed in a Spanish primary care setting at a national level. Patients: 2124 patients, aged 35 to 80 years, 1597 smokers and 527 non-smokers, were included in 52 Spanish primary units. Patients were asked about their smoking habits, comorbidities, Cardiovascular risk factors and medications.
Results: Mean age was 53.1 years; Body Mass Index27.2 and 60.6% were men. The mean number of cigarettes/day was 20.3 and the average smoking duration was 28.6 years. All smokers had a high nicotine dependence and 77.1% lived in an urban environment. Comparing smokers with non-smokers all comorbidities and risk factors were significantly more prevalent in smokers
The prevalence of previous myocardial infarction or peripheral vascular disease was 3.13 times higher and 1.51 times higher respectively in smokers patients than in non-smokers.
Conclusion: Cigarette smoking is a major cardiovascular risk factor and is associated with a negative lipid profile, higher blood pressure and worse glucose metabolism. Smoking cessation is beneficial at any stage as it improves prognosis and quality of life, even after disease onset.