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ANGINA AND SMOKING: WHY STOP SMOKING?
If heart patients are only told to do one thing after being diagnosed, it is to ‘give up smoking if you want to live’. This can seem harsh advice to heap on the unwelcome news of heart disease. It can seem like a further cost, even a penance. Moreover, giving up smoking is not as simple as such advice, so easily given, would have us believe. Giving up smoking usually requires more than simply giving up on a whim. It takes a certain amount of commitment and skill. This section of the book intends to provide you with both of these essential attributes. But first, why stop smoking . . .?
Smoking has been shown to be a major contributory factor to many diseases. Smoking as a risk factor for heart disease has been discussed elsewhere in this book. However, it can also result in a number of diseases of the lung and throat, particularly cancer, bronchitis and emphysema. It has also been associated with other types of cancer including bladder cancer, and cancer of the cervix in women.
Perhaps even more importantly, smoking can have a direct effect on the symptoms of angina. Sudden intake of nicotine can send the arteries providing oxygen to the heart into spasm, restricting the flow of oxygen to the heart muscle, and causing an attack of angina.
Carbon monoxide, also taken in cigarette smoke, reduces the amount of oxygen that can be taken up by the bloodstream, and muscles of the body, placing strain on the heart in getting enough oxygen to the body. This makes someone who smokes more likely to have angina while exercising.
So, while smoking may contribute in the long term to the development of disease, it also has a direct effect on the daily experience of the symptoms of angina. Smoking also increases the likelihood of the development of chest infections, causing breathlessness, which can increase the symptoms associated with angina.
More encouragingly, this means that stopping smoking can have immediate, and not just long-term, effects on health. Within a day of stopping, carbon monoxide leaves the body and as nicotine is no longer inhaled it can no longer contribute to any angina symptoms. As well as these immediate benefits, longer-term health benefits are that any disease process related to smoking immediately stops, and the body begins the process of repair. Stopping smoking has been shown to significantly lessen the risk of further heart attacks, with the risk of having a second heart attack reducing to the same as that of a non-smoker after 5 years. Think you are past the point of no return? If you cut yourself do you stop bleeding? Of course. The body never loses its ability to repair itself and even if you have smoked for many years you can reduce the risk of further heart problems.
Of course, improvements in health are not the only benefits from stopping smoking. Smoking results in a reduced sense of smell and taste, stained teeth and fingers, bad breath and costs a fortune! If you smoke twenty cigarettes a day, you are spending hundreds of pounds a year. Stopping smoking can change all this. A hidden benefit many people find is that when they have successfully stopped smoking, they feel more confident in themselves, and their self-esteem is increased.
Many people give up smoking as a result of illness: bronchitis, angina and so on. Other give up for less obvious reasons such as having just decorated a room and not wishing to stain the wallpaper and curtains with cigarette smoke, the birth of a grandchild, changing jobs and using this as an opportunity to break old habits. Some reasons are very simple: lack of money or a birthday promise.
However, these are other people’s reasons for giving up smoking, and may not apply to you. Thinking about your personal reasons for wanting to stop, and writing them down can help both as a means of motivating yourself to stop, and to remind yourself of these reasons if the going gets difficult in the future. This can be an important beginning to any attempt to stop smoking, and is worth spending a few minutes thinking about.
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