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

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