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Smoking and Stroke Yoichiro Hashimoto 1 1Department of Neurology,Kumamoto City Hospital Keyword: smoking , stroke , brain infarction , subarachnoid hemorrhage , smoking cessation pp.483-490
Published Date 2011/5/1
DOI https://doi.org/10.11477/mf.1416100907
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Abstract

 Cigarette smoking is a risk factor for the brain infarction (lacunar and atherothrombotic brain infarction) and subarachnoid hemorrhage. Not only active smoking but also passive smoking and smokeless tobacco products pose a risk. The risk after smoking cessation for 5-10 years is equal to that faced by a non-smoker. Many patients continue smoking even after an attack of stroke; therefore,support measures to enforce nonsmoking are required in this high-risk population. We offer nonsmoking support using the 5A approach,and assess the nonsmoking stage (precontemplation,contemplation,preparation,action,and maintenance). We also administer medical therapy for smoking cessation when the patients find it difficult to quit smoking on their own accord. Nicotine dependency needs a follow-up like that required for other risk factors in the primary and secondary prevention of the stroke because smoking is a chronic disease that tends to recur.


Copyright © 2011, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1344-8129 印刷版ISSN 1881-6096 医学書院

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