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Heart attack and stroke risk from smoking

If you smoke, your chance of dying from a heart attack is 2 to 3 times greater than that of a person who does not smoke. About 1 out of every 4 heart attacks is believed to be directly related to smoking. Smoking is a much more important risk factor for a heart attack than high cholesterol, obesity, high blood pressure, or stress. Exercise and a good diet cannot erase the risks to your heart caused by smoking.

After you quit:

  • Your risk of having a heart attack is cut in half 1 year after you quit smoking. And 15 years after you quit, your risk of a heart attack is similar to that of a person who never smoked.
  • Even if you have already had a heart attack, quitting smoking will reduce your risk of having a second one, perhaps by as much as 50%.1
  • Even if you gain weight when you quit, your risk of heart attack decreases.

A person who smokes is twice as likely to die from a stroke as a person who does not smoke. From 5 to 15 years after you quit smoking, your risk of stroke is the same as if you had never smoked.2 No one has completed a study on the benefits of quitting smoking in people who have had strokes. But since quitting reduces the risk of having a second heart attack, it is likely that it also reduces the risk of having a second stroke.

Citations

  1. Wilson K, et al. (2000). Effect of smoking cessation on mortality after myocardial infarction. Archives of Internal Medicine, 160(7): 939–944.

  2. U.S. Department of Health and Human Services (1990). The Health Benefits of Smoking Cessation: A Report of the Surgeon General, 1990 (DHHS [CDC] Publication No. 90-8416). Atlanta: U.S. Department of Health and Human Services.

Author Debby Golonka, MPH
Author Caroline Rea, RN, BS, MS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Michele Cronen
Primary Medical Reviewer Kathleen Romito, MD
- Family Medicine
Specialist Medical Reviewer John Hughes, MD
- Psychiatry
Last Updated July 24, 2007

WebMD Medical Reference from Healthwise

Last Updated: July 24, 2007
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.