6 doctors weighed in:

If you do not have heart disease can smoking cause a heart attack at 41 or do yiu have to be diagnosed with CAD or pad first?

6 doctors weighed in
Dr. Stephen Southard
Internal Medicine
3 doctors agree

In brief: Remember

The problem with heart disease is that you usually don't know that you have it until you have a heart attack.
Also know, that even with a normal stress test, it doesn't mean that you don't have heart disease, just that if you do, it's not severe enough to cause blood flow issues even when exercises. Smoking and high blood pressure are issues that you want to address as soon as possible.

In brief: Remember

The problem with heart disease is that you usually don't know that you have it until you have a heart attack.
Also know, that even with a normal stress test, it doesn't mean that you don't have heart disease, just that if you do, it's not severe enough to cause blood flow issues even when exercises. Smoking and high blood pressure are issues that you want to address as soon as possible.
Dr. Stephen Southard
Dr. Stephen Southard
Thank
Dr. William Schmidt
Internal Medicine
2 doctors agree

In brief: No

There are folks that have heart attacks do to coronary spasm and have no other problem.

In brief: No

There are folks that have heart attacks do to coronary spasm and have no other problem.
Dr. William Schmidt
Dr. William Schmidt
Thank
Dr. Bennett Werner
Internal Medicine - Cardiology

In brief: It can, but

It can but the risk is low.
Heart attacks occur due to rupture of an existing plaque inside a coronary artery, often with superimposed spasm and clotting. Smoking elevates the risk of all 3 mechanisms. That said, your risk as a smoker is 0.1% per year (1 in a 100 over 10 years). For comparison, your risk of dying in childbirth in a given year is 1 in 5,000 or about 5X less than a heart attack.

In brief: It can, but

It can but the risk is low.
Heart attacks occur due to rupture of an existing plaque inside a coronary artery, often with superimposed spasm and clotting. Smoking elevates the risk of all 3 mechanisms. That said, your risk as a smoker is 0.1% per year (1 in a 100 over 10 years). For comparison, your risk of dying in childbirth in a given year is 1 in 5,000 or about 5X less than a heart attack.
Dr. Bennett Werner
Dr. Bennett Werner
Thank
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