Tobacco Use: A Major Risk Factor of Intracerebral Hemorrhage

被引：23
作者：
Cho, Sunjoo [1 ,2 ]
Rehni, Ashish K. [1 ,2 ]
Dave, Kunjan R. [1 ,2 ,3 ]
机构：
[1] Univ Miami, Miller Sch Med, Peritz Scheinberg Cerebral Vasc Dis Res Lab, Miami, FL USA
[2] Univ Miami, Miller Sch Med, Dept Neurol, 1420 NW 9th Ave, NRB 203E, Miami, FL 33136 USA
[3] Univ Miami, Miller Sch Med, Dept Neurosci Program, Miami, FL 33136 USA
来源：
JOURNAL OF STROKE | 2021年 / 23卷 / 01期
关键词：
Cerebral hemorrhage; Tobacco; Smoking; Hemorrhagic stroke; Hematoma; Risk factors; BLOOD-BRAIN-BARRIER; CIGARETTE-SMOKING; CARDIOVASCULAR-DISEASE; STROKE INCIDENCE; CEREBRAL MICROBLEEDS; PLATELET-FUNCTION; SECONDHAND SMOKE; ISCHEMIC-STROKE; SEX-DIFFERENCES; NICOTINE;
D O I：
10.5853/jos.2020.04770
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Spontaneous intracerebral hemorrhage (sICH) is one of the deadliest subtypes of stroke, and no treatment is currently available. One of the major risk factors is tobacco use. In this article, we review literature on how tobacco use affects the risk of sICH and also summarize the known effects of tobacco use on outcomes following sICH. Several studies demonstrate that the risk of sICH is higher in current cigarette smokers compared to non-smokers. The literature also establishes that cigarette smoking not only increases the risk of sICH but also increases hematoma growth, results in worse outcomes, and increases the risk of death from sICH. This review also discusses potential mechanisms activated by tobacco use which result in an increase in risk and severity of sICH. Exploring the underlying mechanisms may help alleviate the risk of sICH in tobacco users as well as may help better manage tobacco user sICH patients.
引用
收藏
页码：37 / 50
页数：14
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