2008 issue 1


Volume 17, issue 1

Review article

Tobacco smoking as a risk factor for cerebral stroke

Paweł Zatorski1, Halina Sienkiewicz-Jarosz2, Anna Ścińska1,3, Agnieszka Korkosz1,3, Danuta Ryglewicz2
1. Zakład Farmakologii Instytutu Psychiatrii i Neurologii w Warszawie
2. I Klinika Neurologii Instytutu Psychiatrii i Neurologii w Warszawie
3. Klinika Otolaryngologii Akademii Medycznej w Szpitalu Czerniakowskim w Warszawie
Postępy Psychiatrii i Neurologii 2008; 17 (1): 45-51
Keywords: stroke, tobacco smoking, nicotine dependence


Objective. To present an overview of studies on the relationship between tobacco smoking and risk of cerebral stroke.
Review. Cigarette smoking is an independent risk factor for cerebral stroke. The relative risk of stroke increases with the number of cigarettes smoked, depends on the type of stroke, and is not distinctly related to gender. Middle-aged smokers as compared to non-smokers are the highest risk group. On smoking cessation the relative risk for stroke significantly decreases, which indicates a causative relationship between tobacco smoking and cerebral stroke onset. There is growing evidence that passive smoking is also a stroke risk factor.
Conclusions. Nicotine dependence is a life-threatening condition that should be treated by all medical practitioners representing various specialties.

Address for correspondence:
Dr Halina Sienkiewicz-Jarosz
I Klinika Neurologii, Instytut Psychiatrii i Neurologii
ul. Sobieskiego 9, 02-957 Warszawa
tel.: (0-22) 45 82 684
e-mail: haljar@yahoo.com