[Tobacco dependence: first risk factor of atherosclerosis. Survey among smokers and non-smokers in group dynamics].

Several epidemiological and experimental studies have demonstrated an increased risk of atherosclerosis in smokers. The secondary prevention of this risk factor is only possible, presently, through anti-tobacco consultations. Several approaches are possible but there are many recurrences within the year following the wean-off. In a group dynamics, including patients having tried another method, we have conducted an investigation among inveterate smokers (n = 106), former smokers (n = 50) and a group of non-smokers (n = 34). Group dynamics remains a suitable method for smokers willing to get rid of their addiction. The number of daily cigarettes consumed by inveterate smokers is considerably and lastingly reduced, and 27 p. cent of the patients quit smoking. Monitoring of laboratory tests (HbCo, Blood count, HDL-cholesterol, thiocyanate, etc.), electrocardiogram and chest X-Ray, completes this weekly consultation and permits a stronger motivation for the smoker to quit smoking. Sometimes associated with acupuncture or homeopathy, this method permits a progressive de-conditioning from tobacco addiction.