VII.16. Smoking
Smoking is a risk factor for various fatal diseases (tumors, stroke, CVD and CHD). Nicotine increases the heart frequency and BP. Carbon monoxide (CO) increases a predisposition to thrombosis, and decreases the strength of the myocardial contraction (negative inotropic effect). It decreases the HDL level and increases the TG and LDL levels. It enhances insulin resistance. It worsens the endothelial function and endothelial NO production.
After quitting cigarettes, the body needs a long time to eliminate the dangerous effects of nicotine. The values in Table 8 are highly dependent on the person, the smoking habits and the duration of abstinence.
20 min: decreases in BP, pulse and body heat
8 hours the blood oxygen level increases
48 hours the neurological connections are enhanced
the senses of taste and smell are improved
2-12 weeks the circulatory and respiratory parameters are improved
walking becomes easier
1-9 months the body energy regulation is improved
the lungs start to clarify
1 year the risk of CVD drops by half
5 years the risk of stroke and tumors is similar to that in nonsmokers
10 years the risk of lung cancer is the same as in nonsmokers
15 years the risk of CHD is the same as in nonsmokers
Table 8. Physiological changes various times after quitting cigarette smoking