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Risk factors

Smoking and CAD—what's plaque got to do with it?

The precise physiological mechanisms linking cigarette smoking with increased coronary risk remain largely speculative. Similarly, the reason why smoking cessation is effective at ameliorating this risk is also unclear. The subclinical study by Nakanishi and colleagues has challenged the orthodoxy that plaque formation is the necessary ingredient underpinning these associations.

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Figure 1: Assessing the relationship between calcified plaque formation and smoking.

References

  1. Jha, P. & Peto, R. Global effects of smoking, of quitting, and of taxing tobacco. N. Engl. J. Med. 370, 60–68 (2014).

    Article  CAS  Google Scholar 

  2. Barua, R. S. & Ambrose, J. A. Mechanisms of coronary thrombosis in cigarette smoke exposure. Arterioscler. Thromb. Vasc. Biol. 33, 1460–1467 (2013).

    Article  CAS  Google Scholar 

  3. Talhout, R. et al. Hazardous compounds in tobacco smoke. Int. J. Environ. Res. Public Health 8, 613–628 (2011).

    Article  Google Scholar 

  4. Nakanishi, R. et al. Current but not past smoking increases the risk of cardiac events: insights from coronary computed tomographic angiography. Eur. Heart J. http://dx.doi.org/10.1093/eurheartj/ehv013.

  5. Barzi, F. et al. Association of smoking and smoking cessation with major causes of mortality in the Asia Pacific Region: the Asia Pacific Cohort Studies Collaboration. Tob. Control 17, 166–172 (2008).

    Article  CAS  Google Scholar 

  6. Huxley, R. R. & Woodward, M. Cigarette smoking as a risk factor for coronary heart disease in women compared with men: a systematic review and meta-analysis of prospective cohort studies. Lancet 378, 1297–1305 (2011).

    Article  Google Scholar 

  7. Doll, R., Peto, R., Boreham, J. & Sutherland, I. Mortality in relation to smoking: 50 years' observations on male British doctors. BMJ 328, 1519–1533 (2004).

    Article  Google Scholar 

  8. McEvoy, J. W. et al. Cigarette smoking and cardiovascular events: role of inflammation and subclinical atherosclerosis from the multiethnic study of atherosclerosis. Arterioscler. Thromb. Vasc. Biol. 35, 700–709 (2015).

    Article  CAS  Google Scholar 

  9. Shiels, M. S. et al. Cigarette smoking and variations in systemic immune and inflammation markers. J. Natl. Cancer Inst. 106, dju294 (2014).

    Article  Google Scholar 

  10. Bartlem, K. M. et al. Chronic disease health risk behaviours amongst people with a mental illness. Aust. N. Z. J. Psychiatry http://dx.doi.org/10.1177/0004867415569798.

Download references

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Correspondence to Rachel Huxley.

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Huxley, R. Smoking and CAD—what's plaque got to do with it?. Nat Rev Cardiol 12, 265–266 (2015). https://doi.org/10.1038/nrcardio.2015.37

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