“In Italy the attitude of the institutions on the risk of smoking is very clear, very clear: the fight against smoking 'no ifs or buts'. The problem is what to do for those who just can't stop, what is the attitude should hold. I believe it is necessary to start speaking with the institutions even with data in hand: I would like to point out that more than one piece of scientific research has now been developed”. As Silvio Festinese, cardiologist of the ASL Roma 1 and professor of Pharmacology at the UniCamillus university of Romeon the occasion of Congress 'In the Heart of Santa' in Santa Margherita Ligure (Genoa), as part of the panel 'What really matters for adult smokers: an evidence-based opinion form cardiology experts'.
“Just as we have followed the reduction of risk in the cardiovascular sector or in the oncology sector – remarks Festinese – with the same methodology we must overcome the ideological barriers of drastically opposing it, and instead leave room for comparison, for clinical data, for all the research we still need it today we have available, as an alternative use of tobacco and nicotine, both e-cigs and heated tobacco products without combustion. These are the two current alternatives that we know well and which we must discuss – underlines the cardiologist – We now have certain data on the drastic reduction of the substances released by combustion, from which both the oncological and cardiovascular risk arises. In any case, going deeper, continuing to research and always and constantly aiming to reduce risk must remain the objective we are working towards.”
In the end, “the doctor-patient relationship is fundamental in reducing the risk of smoking – concludes Festinese – because the empathetic relationship between doctor and patient, which is not limited to just one visit but possibly continues over time, is what allows us to effectively address the problem of reduction of tobacco harmuntil reaching the 'gold standard' which in any case is always the cessation of cigarette smoking”.
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