Smoking rates remain high after PCI, CABG

Among smokers who underwent coronary revascularization, rates of smoking remained substantial despite smoking cessation efforts, researchers reported.

Kudret Keskin, MD, of the cardiology department at the Medicana Hospitals Bahçelievler, Eski Londra AsfaltI Haznedar in Istanbul, and colleagues studied 350 smokers who had undergone coronary revascularization by PCI or CABG, to assess rates of smoking after intervention. They presented their findings at the Emirates Cardiac Society Congress in collaboration with the American College of Cardiology Middle East Conference in Dubai, United Arab Emirates.

Participants were given a self-administered questionnaire to evaluate sociodemographic, disease-related and smoking-related risk factors.

After revascularization, 57% of patients continued smoking (200 persistent smokers; 83.5% men; 150 quitters; 92.7% men). Those who persisted smoking were older (mean age, 55 years) compared with those who quit after intervention (mean age, 58 years; P = .007). Patients were more likely to quit smoking if they had in-hospital adverse events (persistent smokers, 2.5%; quitters, 9.1%; P = .007).

The quitter group had a greater percentage of patients who underwent CABG (20%) compared with the persistent-smoker group (10%; P = .008), according to the researchers.

Because of continued high rates of smoking after coronary intervention, the researchers said clinical practice should include a multidisciplinary approach to smoking cessation that incorporates cardiac rehabilitation and medications. by Cassie Homer

Reference:

Keskin KN, et al. Abstract 1120. Presented at: Eighth Emirates Cardiac Society Congress in Collaboration with ACC Middle East Conference; Oct. 19-21, 2017; Dubai, United Arab Emirates.

Disclosures: Cardiology Today ’s Intervention could not confirm disclosures at the time of publication.