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Smoking and lower extremity artery disease.

International angiology : a journal of the International Union of Angiology
April 3, 2025
Pier L Antignani et al. (7 authors)
Journal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to highlight the harmful effects of smoking on lower extremity arterial disease (LEAD) and emphasize the importance of smoking cessation interventions in medical management.

Results Summary

Smoking is strongly associated with LEAD progression, worse post-procedural outcomes, and increased healthcare utilization due to mechanisms like endothelial dysfunction, oxidative stress, and inflammation. Smoking cessation is critical for LEAD patients, but interventions remain underutilized.

Population

Patients with lower extremity arterial disease (LEAD).

Effective Dosage

Not Assessed

Duration

Not Assessed

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Cigarette smoking
increase
lower extremity arterial disease (LEAD)
-
-
is a major preventable risk factor for
#1
Cigarette smoking
increase
disease progression
-
-
is strongly associated with a higher risk of
#2
Cigarette smoking
increase
worse post-procedural outcomes
-
-
is strongly associated with
#3
Cigarette smoking
increase
increased healthcare utilization
-
-
is strongly associated with
#4
Smoking
increase
atherosclerotic
-
-
provokes the development of
#5
Smoking cessation
neutral
-
patients with LEAD
-
are mandatory
#6
smoking cessation methods, including pharmacological treatment
neutral
-
-
-
are mandatory
#7
smoking cessation treatments
neutral
-
medical management of LEAD
-
highlight the importance of incorporating
#8
Regulatory approaches to reduce tobacco use and support smoking cessation
decrease
LEAD
-
-
have the potential to reduce the burden of
#9
Abstract

Cigarette smoking is a major preventable risk factor for lower extremity arterial disease (LEAD) and is strongly associated with a higher risk of disease progression, worse post-procedural outcomes, and increased healthcare utilization. Smoking provokes the development of atherosclerotic through different mechanisms. Endothelial cell dysfunction, oxidative stress, inflammation, and arterial stiffness are among the key factors related to the development of atherogenesis due to smoking. Smoking cessation among patients with LEAD and the use of smoking cessation methods, including pharmacological treatment, are mandatory. Given that smoking cessation interventions remain underutilized. Therefore, in this narrative review we highlight the importance of incorporating smoking cessation treatments as part of the medical management of LEAD. Regulatory approaches to reduce tobacco use and support smoking cessation have the potential to reduce the burden of LEAD.

Study Links
Quality Scores
Safety1
Efficacy10/10
Quality85/10
Research Impact Scores
APT Score0.05
Weight Score1.35
Normalized Score0.21
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