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Il Cuore in Fumo: 25000 Ricoveri all’Anno in Piemonte

Pubblicato da Dr.Guidalberto Guidi in News · 12/12/2010 11:27:00
Tags: cuore, fumo, ricoveri, Torino
Per la prima volta dal gennaio 2005, anno in cui entrò in vigore la legge che vietava il fumo nei locali pubblici, possiamo fare un bilancio: sicuramente positivo con una riduzione di eventi cardiovascolari e infarti di circa il 10%.

Proprio in questi giorni i dati sono stati resi ufficiali anche dall’Università di Torino e verranno presto estesi a tutto il territorio nazionale.

I ricoveri causati dal fumo di sigaretta in Piemonte sono circa 25.000 all’anno con una mortalità del 5%, gli infarti e le sindromi coronariche acute sono circa 5.000. Da ciò si deduce un costo sociale e di vite umane inaccettabile.

Ribadendo il concetto di prevenzione, dobbiamo ricordare come l’astensione dal fumo sia socialmente utile, ed estremamente economica, praticamente a costo zero, rispetto a terapie farmacologiche.

Perché la prevenzione sia e continui ad essere efficace è necessaria la consapevolezza da parte dei fumatori e di coloro che devono conviverci, dei meccanismi che portano ai devastanti effetti sulla salute.

Il fumo di sigaretta provoca una sorta di asfissia cellulare e produce notevole quantità di radicali liberi, ogni sigaretta forma circa 10 miliardi di radicali liberi. L’azione dei radicali liberi si manifesta sulle proteine che trasportano grassi e colesterolo, chiamate LDL, che vengono ossidate, provocando vasocostrizione (riduzione di diametro dei vasi), aumento dell’adesività dei globuli bianchi e dell’aggregazione piastrinica che dà inizio al processo di trombosi e di aterosclerosi. Ogni lipoproteina LDL contiene 2.000 molecole di grassi!

Quando sono aggredite dai radicali liberi prodotti dal fumo si ossidano, formando le ox-LDL, estremamente tossiche perchè si infiltrano e accumulano nella parete dei vasi come cellule grasse, che cresceranno a dismisura.

Il trasporto di ox-LDL a livello della parete arteriosa è ormai riconosciuto come evento specifico e fondamentale della formazione del mantenimento dell’aterosclerosi. Il danno sulla parete interna dei vasi, conseguente all’azione lesiva delle ox-LDL, gioca un ruolo decisivo nel successivo sviluppo dell’aterosclerosi, successiva ischemia, infarto e ictus.

Ogni sigaretta può provocare uno spasmo vascolare nei vari distretti, sia cerebrale che coronarico, e questo è stato dimostrato nel corso di coronarografia dagli studi condotti da ricercatori italiani.

Se lo spasmo si manifesta su un vaso sano non vi sono conseguenze serie, se invece avviene su un vaso già compromesso, per esempio in corrispondenza di una placca aterosclerotica, le conseguenze possono essere anche gravi fino alla completa ostruzione del vaso e interruzione del flusso sanguigno.

Un ulteriore meccanismo lesivo del fumo è quello che si manifesta cronicamente sulla superficie interna dei vasi, una sorta di infiammazione chiamata disfunzione endoteliale, e contemporaneamente sui fattori della coagulazione: da un lato indebolisce lo strato protettivo interno a diretto contatto con il sangue, dall’altro aumenta la coagulabilità del sangue e riduce i fattori antitrombotici, facilitando così i meccanismi della trombosi.

E’ stato calcolato che il danno provocato da una sigaretta richiede circa 2 ore per essere faticosamente neutralizzato dalle naturali difese dell’organismo, che è costretto a utilizzare tutti i suoi antiossidanti endogeni.

Questo meccanismo non è infinito e andrà così ad esaurirsi lasciando i vasi sanguigni in balia dell’asfissia e dello stress ossidativo, con conseguenze anche gravi per l’apparato cardiovascolare e polmonare.

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valvola Daniele saturi Marchionne Ecg Total come sintomi Cardiovascolare apparecchiature l’Aterosclerosi forme Metabolica sanità prenotazione venose dieta carni Paziente Guidi 100.000 fisico vibranti Chirurgia strumental Elettrocardiogramma Specialistica Attacco fumo grassi morire danni librodella Sostituzione notiza coronaroTC apparato mediterraneo estate Fisioterapia ipertensione prevenire quanto Charlie medica mediterranea cardiologia Viagra donne Filippide antiipertensivi salvare Mediterranea arterie Ipertensione neonata ultima Valvolare centro Jackson tre cardiologico salute mangiare polmonare Morte Coronaro cattivo Astori screening muore Carotideo Endovascolare Pronto pubblica cura LDL varici Napoli Cardiache miocardico Cerebrali mango Cardiologo Neurologia malato Cause la Comuni intervento Rosa di Vene cadavere pedane curare antidepressivi HDL dottor Fisiopatologiche Malattie en Massoterapia cardiaci cardiovascolare Aneurisma gusto consumo Scompenso Sergio regole larghi Cardarelli Addominale notturne cardiovascolari ecocardiogramma remise juventus tumori malattia curoe Parkinson Diagnosi guidi stress diabesity Visite debole Sprechi Centro Pino sesso apnee libro umane esame tabacco regala Ischemico moriredisport Juventus ictus folli vita trapianto cronica tromboembolia morte Sindrome attività vivere Cardiovascolari Olio infarto acqua massaggio cassano cardiache problemi cuore generazione Extravergine aortica fianchi Terapia valori DASH patologie Dieta Diagnostico contro TC diabete medico alimentazione Angio Regredire cardiologo Trapianto notizia saluteedelgusto Studio ambulanze FC obesità prevenzione invecchiamento berlusconi Ecodoppler vegetariano Guidalberto all’anno asa malattie Michael pressione soccorso up dott.Guidi Up DIAD bianche sana Giornata Screening striscia macchinari vite Osteopatia Cardiologia Europa Burro mondiale vizio Breathing diabete.Cardiologia torino prevvenzione esercizio malore Prevenzione rianimazione d’oro imparare Ecocardiogramma Davide Margarina corsia a fisica aspirina ECG alimenti infiammazione cardiaca Aorta clamys Rischio Estetica tsa Esami londra Airway cantante concerto Cardiologico cardioexpert cardiopolmonare Medicina farmaci ricoveri ischemia Cardiaco pomodoro check Body colesterolo alcool Ortopedia nicole Venosa lungo natale Torino giornata CoronaroTC cosa Aneurismi arteriosa Death Check rischi Aortica sport Infarto cardiaco il sonno

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