RESUMEN

El consumo de tabaco tiene consecuencias adversas en la salud cardiovascular y representa un problema de salud pública a nivel mundial que demanda atención integral. Se realizó una revisión sistemática en PubMed de la literatura concerniente al impacto del tabaquismo sobre la salud cardiovascular reportada en metaanálisis publicados en los últimos 10 años. Doce estudios determinaron una asociación significativa entre el tabaquismo y la incidencia de enfermedades cardiovasculares, de los cuales seis demostraron una disminución importante de la morbimortalidad tras la implementación de políticas para el control del tabaco. Es necesario fortalecer las acciones de los gobiernos y los profesionales de la salud para disminuir la prevalencia de consumo de tabaco y proteger a la población general de las enfermedades asociadas con este producto, que afectan a todo el cuerpo y que tienden a generar enfermos con múltiples comorbilidades que se tienen que investigar.

PALABRAS CLAVE

Tabaquismo, enfermedad cardiovascula, legislación para control de tabaco.

REFERENCIAS

1. Reynales-Shigematsu LM, Zavala-Arciniega L, Paz-Ballesteros WC, et al. Encuesta Nacional de Consumo de Drogas, Alcohol y Tabaco 2016-2017: Reporte de Tabaco. Ciudad de México, México: INPRFM; 2017.p.19,20.

2. Instituto Nacional de Salud Pública (2013). 75 mil millones de pesos al año gasta México por tabaquismo. Fecha de consulta: 20 de agosto 2018. Accesible en: https://www.insp.mx/centros/salud-poblacional/prensa/1345-75-mil-millones-de-pesos-al-ano-gasta-mexico-por-tabaquismo.html

3. U.S. Department of Health and Human Services. The health consequences of smoking – 50 years of progress: a report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014.p.413-435.

4. Organización Mundial de la Salud. Campañas mundiales de salud pública de la OMS. Día mundial sin tabaco 2018: Tabaco y cardiopatías. Fecha de consulta: 30 de mayo, 2018. Accesible en: http://www.who.int/campaigns/no-tobacco-day/2018/event/es/

5. Boffetta P, Straif K. Use of smokeless tobacco and risk of myocardial infarction and stroke: systematic review with meta-analysis. BMJ 2009;339:b3060. doi: 10.1136/bmj.b3060.

6. Hackshaw A, Morris JK, Boniface S, Tang JL, Milenković D. Low cigarette consumption and risk of coronary heart disease and stroke: meta-analysis of 141 cohort studies in 55 study reports. BMJ 2018;360:j5855. doi: 10.1136/bmj.j5855.

7. U.S. Department of Health and Human Services. How tobacco smoke causes disease: the biology and behavioral basis for smoking attributable-disease: a report of the surgeon general. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010.p.11,361.

8. Huxley RR, 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 2011;378(9799):1297-1305. doi: 10.1016/S0140-6736(11)60781-2.

9. Meyers DG, Neuberger JS, He J. Cardiovascular effect of bans on smoking in public places: a systematic review and meta-analysis. J Am Coll Cardiol 2009;54(14):1249-1255. doi: 10.1016/j.jacc.2009.07.022.

10. Critchley JA, Capewell S. Mortality risk reduction associated with smoking cessation in patients with coronary heart disease: a systematic review. JAMA 2003;290(1):86-97. doi: 10.1001/jama.290.1.86.

11. Ezzati M, Henley SJ, Thun M J, Lopez AD. Role of smoking in global and regional cardiovascular mortality. Circulation 2005;112(4):489-497. doi: 10.1161/CIRCULATIONAHA.104.521708.

12. Lin H, Wang H, Wu W, Lang L, Wang Q, Tian L. The effects of smoke-free legislation on acute myocardial infarction: a systematic review and meta-analysis. MBC Public Health 2013;13:529. doi: 10.1186/1471-2458-13-529.

13. O’Donnell MJ, Chin SL, Rangarajan S, et al. Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries (INTERSTROKE): a case-control study. Lancet 2016;338(10046):761-775. doi: 10.1016/ S0140-6736(16)30506-2.

14. Ockene IS, Miller NH. Cigarette smoking, cardiovascular disease, and stroke: a statement for healthcare professionals from the American Heart Association. American Heart Association Task Force on Risk Reduction. Circulation 1997;96(9):3243-3247.

15. Fukuoka T, Nakazato Y, Kawasaki H, et al. The clinical features of ischemic stroke patients for whom smoking was considered the sole risk factor for ischemic stroke. Intern Med 2018;57(12):1703-1706. doi: 10.2169/internalmedicine.9655-17.

16. Wolf PA, D’Agostino RB, Kannel WB, Bonita R, Belanger AJ. Cigarette smoking as a risk factor for stroke. The Framingham Study. JAMA 1988;259(7):1025-1029. doi: 10.1001/jama.1988.03720070025028.

17. Kawachi I, Colditz GA, Stampfer MJ, et al. Smoking cessation and decreased risk of stroke in women. JAMA 1993;269(2):232-236. 10.1001/jama.1993.03500020066033.

18. Wannamethee SG, Shaper AG, Whincup PH, Walker M. Smoking cessation and the risk of stroke in middle-aged men. JAMA 1995;274(2):155-160. doi: 10.1001/jama.1995.03530020073035.

19. Li C, Engström G, Hedblad B, Berglund G, Janzon L. Risk factors for stroke in subjects with normal blood pressure: a prospective cohort study. Stroke 2005;36(2):234-238. doi: 10.1161/01.STR.0000152328.66493.0a.

20. Oono IP, Mackay DF, Pell JP. Meta-analysis of the association between secondhand smoke exposure and stroke. J Public Health (Oxf) 2011;33(4):496-502. doi: 10.1093/pubmed/fdr025.

21. Tan CE, Glantz SA. Association between smoke-free legislation and hospitalizations for cardiac, cerebrovascular, and respiratory diseases: a meta-analysis. Circulation 2012;126(18):2177-2183. doi: 10.1161/CIRCULATIONAHA.112.121301.

22. Mackay DF, Irfan MO, Haw S, Pell JP. Meta-analysis of the effect of comprehensive smoke-free legislation on acute coronary events. Heart 2010;96(19):1525-1530. doi: 10.1136/hrt.2010.199026.

23. Hurt RD, Weston SA, Ebbert JO, et al. Myocardial infarction and sudden cardiac death in Olmsted County, Minnesota, before and after smoke-free workplace laws. Arch Intern Med 2012;172(21):1635-1641. doi: 10.1001/2013.jamainternmed.46.

24. Khuder SA, Milz S, Jordan T, Price J, Silvestri K, Butler P. The impact of a smoking ban on hospital admissions for coronary heart disease. Prev Med 2007;45(1):3-8. doi: 10.1016/j.ypmed.2007.03.011.