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What Is the Relationship Between Cigarettes and Heart Failure?

To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 75% on the post-test.

  1. You are a member of the healthcare team working on smoking cessation with a 70-year-old woman. She has a 30 pack-year history of smoking. The risk for which of the following forms of cardiovascular disease was most increased with current smoking in the previous study by Banks and colleagues?
    Aortic aneurysm and dissection
    Aortic stenosis
    Left bundle branch block
    Acute myocardial infarction
  2. On the basis of the results of the ARIC study, what can you tell this patient about her smoking history and risk for heart failure?
    Her smoking should only promote a higher risk for heart failure with preserved ejection fraction (HFpEF), not heart failure with reduced ejection fraction (HFrEF)
    Her smoking should only promote a higher risk for HFrEF, not HFpEF
    The risk for overall heart failure becomes borderline increased at 10 to 25 pack-years
    Quitting smoking now should normalize her risk for heart failure within 15 years