Olga Sribna
National Scientific Center "M.D. Strazhesko Institute of Cardiology", Ukraine
Biography
Abstract
According to the epidemiological survey in Ukraine, 29.8% of patients with cardiovascular diseases smoke. Most of them have a high nicotine dependence in combination with a mixed type of psychological dependence and low motivation to quit smoking. A survey of cardiologists and cardiac surgeons (305 people) showed that almost all doctors (97%) view smoking and nicotine as factors that significantly worsen the prognosis of their patients. 62% of doctors believe that smoking reduces the effectiveness of statins, antihypertensive drugs -73%, nitroglycerin - 67%, opioids - 42%. At the same time, 56% are in favor of encouraging the transition to ENDS of those patients who are unable or unwilling to quit smoking, considering them to be less harmful sources of nicotine, 42.7% consider ENDS as a subtype of nicotine replacement therapy. Every second doctor believes that a reduced risk strategy is a new, interesting and important approach in primary and mainstream preventive cardiology, but everyone points to a lack of information about the effects on the human body of reduced risk products.