Case study- heart disease

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Case Study: Heart Disease

Is there a correlation between passive smoking and coronary heart disease? 

In this case study I will be analysing evidence for and against claims that passive smoking increases the risk of coronary heart disease.

The first piece of evidence of a link between passive smoking and heart disease was first discussed in the mid 80s and research into the evidence is ongoing. Regular intake of second hand smoke increases coronary heart disease risk by approximately 25%. Evidence has shown that even small doses of second hand tobacco smoke can have a large effect on coronary heart disease, whilst further exposure has a small additional effect.

 Environmental tobacco smoke increases blood platelet activity which causes blood to thicken. The thicker blood then has a greater tendency to clot. These blood clots prevent oxygen from getting to the heart via the coronary arteries, causing the heart muscle to die. Consequently a heat attack occurs. Just 30 minute exposure to tobacco smoke can affect the cells lining the coronary arteries. This can then contribute to development of atheroma (atherosclerosis) narrowing the coronary arteries with a build up of atherosclerotic plaque and reducing blood flow to the heart. The build up of plaque is soft inside with a hard outer wall. When the outer wall splits, platelets cover up the split causing the artery to be narrowed further. Another condition that can be caused by reduced blood and oxygen flow to the heart is angina. This causes chest pains and discomfort that occurs when the heart does not receive enough blood.

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Although there are many cases with evidence that says that passive smoking does cause heart disease, there are organisations that say the case against passive smoking has never been properly proved. A campaigning group called ‘FOREST’ point to a study in the British medical journal. This found that the link between environmental tobacco smoke and coronary heart disease was not as strong as formally believed.

This triggered a counterargument by the anti smoking lobby pointed out that the UK governments committee on carcinogens still concluded that tobacco smoke is carcinogenic (cancer causing)  and responsible for several hundred deaths ...

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