Can people with primary hypertension smoke?

Patient's question:

My distant relative went to the hospital for a health check-up and was diagnosed with primary hypertension. I want to ask if people with primary hypertension can smoke?

Doctor's answer:

Smoking is an unhealthy behavior and one of the major risk factors for cardiovascular diseases and cancer. Passive smoking also significantly increases the risk of cardiovascular diseases. Smoking can cause damage to the vascular endothelium and significantly enhance the risk of atherosclerosis in patients with hypertension. The benefits of quitting smoking are obvious, and quitting at any age is beneficial. Tobacco addiction is a chronic net addiction disease that is difficult to quit and has a high relapse rate. Therefore, doctors should strongly advise and supervise hypertensive patients to quit smoking, encourage patients to seek medication for quitting, and implement follow-up and supervision for successful quitters to prevent relapse. Fluctuations in blood pressure are caused by nicotine in tobacco. Nicotine is a highly toxic substance.

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