Hostname: page-component-848d4c4894-4hhp2 Total loading time: 0 Render date: 2024-05-13T10:20:28.002Z Has data issue: false hasContentIssue false
  • English
  • Français

Smoking Cessation after Myocardial Revascularization Procedures

Published online by Cambridge University Press:  13 August 2014

Thiago Gonçalves Schroder e Souza ,
Jonathan Batista Souza ,
Evandro Bertanha Nunes ,
Roberto Mário Arruda Verzola ,
Cláudia Vanessa Barrionuevo ,
Leandro Menezes Alves da Costa  and
Márcio Gonçalves de Sousa
Thiago Gonçalves Schroder e Souza*
Affiliation:
Dante Pazzanese Heart Institute, São Paulo, Brazil
Jonathan Batista Souza
Affiliation:
Dante Pazzanese Heart Institute, São Paulo, Brazil
Evandro Bertanha Nunes
Affiliation:
Dante Pazzanese Heart Institute, São Paulo, Brazil
Roberto Mário Arruda Verzola
Affiliation:
Dante Pazzanese Heart Institute, São Paulo, Brazil
Cláudia Vanessa Barrionuevo
Affiliation:
Dante Pazzanese Heart Institute, São Paulo, Brazil
Leandro Menezes Alves da Costa
Affiliation:
Dante Pazzanese Heart Institute, São Paulo, Brazil
Márcio Gonçalves de Sousa
Affiliation:
Dante Pazzanese Heart Institute, São Paulo, Brazil
*
Address for correspondence: Thiago Gonçalves Schroder e Souza, Dante Pazzanese Heart Institute. 500 Doutor Dante Pazzanese Street, Sao Paulo, Brazil. Postcode: 04012-909. Email: thiagojfx@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction: Smoking is associated with the development of coronary artery disease and influences negatively the prognosis of patients undergoing myocardial revascularization procedures. However, the rate of smoking cessation after these procedures is not well established in the literature. We aimed to evaluate the rate of smoking cessation in patients undergoing revascularization procedures, immediately and after 12 months of follow-up.

Methods: We examined smoking patients from a unique cardiology center who underwent myocardial revascularization procedures between January 2010 and December 2011. These patients were allocated to two groups according to the revascularization procedure performed: Coronary Artery Bypass Grafting (CABG) and Percutaneous Coronary Interventions (PCI). Data related to cessation or maintenance of smoking were obtained at subsequent clinical appointments or telephone calls.

Results: Among 173 patients selected, 118 (68.2%) underwent PCI and 55 (31.8%) underwent CABG. After revascularization procedures, the total rate of smoking cessation was 79.3%. Furthermore, there was no significant difference between the two groups (83.6% – CI 95%: 71.2–92.2% for CABG, and 79.3% – CI 95%: 70.8–86.3% for PCI). The maintenance of smoking cessation after one year was 53.2%, similar between groups (52.7% for CABG and 53.4% for PCI). Nevertheless, the average time of smoking cessation was significantly higher in the CABG group (6.9 months versus 4.5 months for PCI).

Conclusions: Coronary interventions add important value to smoking cessation, and the smoking cessation rates were similar, independent of the procedure executed.

Keywords

Smoking cessationcoronary artery bypasspercutaneous coronary intervention
Type
Original Articles
Information
Journal of Smoking Cessation , Volume 11 , Issue 3 , September 2016 , pp. 150 - 153
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abdullah, A. S., Ho, L. M., Kwan, Y. H., Cheung, W. L., McGhee, S. M., & Chan, W. H. (2006). Promoting smoking cessation among the elderly: What are the predictors of intention to quit and successful quitting? Journal of Aging Health, 18 (4), 552–564.CrossRefGoogle ScholarPubMed
Barth, J., Critchley, J., & Bengel, J. (2006). Efficacy of psychosocial interventions for smoking cessation in patients with coronary heart disease: A systematic review and meta-analysis. Annals of Behavioral Medicine, 32 (1), 10–20.Google Scholar
Bohadana, A., Nilsson, F., Rasmussen, T., & Martinet, Y. (2003). Gender differences in quit rates following smoking cessation with combination nicotine therapy: Influence of baseline smoking behavior. Nicotine and Tobacco Research, 5 (1), 111–116.Google Scholar
Cohen, D. J., Doucet, M., Cutlip, D. E., Ho, K. K., Popma, J. J., & Kuntz, R. E. (2001). Impact of smoking on clinical and angiographic restenosis after percutaneous coronary intervention: Another smoker's paradox? Circulation, 104 (7), 773–778.Google Scholar
Critchley, J. A., & Capewell, S. (2003). Mortality risk reduction associated with smoking cessation in patients with coronary heart disease: A systematic review. Journal of the American Medical Association, 290 (1), 86–97.Google Scholar
Gritz, E. R., Nielsen, I. R., & Brooks, L. A. (1996). Smoking cessation and gender: The influence of physiological, psychological, and behavioural factors. Journal of the American Medical Women's Association, 51 (1–2), 35–42.Google Scholar
Hajek, P., Taylor, T. Z., & Mills, P. (2002). Brief intervention during hospital admission to help patients to give up smoking after myocardial infarction and bypass surgery: Randomised controlled trial. British Medical Journal, 324 (7329), 87–89.Google Scholar
Hasdai, D., et al. (1998). Predictors of smoking cessation after percutaneous coronary revascularization. Mayo Clinic Proceedings, 73 (3), 205–209.Google Scholar
Munafo, M., Rigotti, N., Lancaster, T., Stead, L., & Murphy, M. (2001). Interventions for smoking cessation in hospitalised patients: A systematic review. Thorax, 56 (8), 656–663.CrossRefGoogle ScholarPubMed
Ockene, J., et al. (1992). Smoking cessation and severity of disease: The Coronary Artery Smoking Intervention Study. Health Psychology, 11 (2), 119–126.CrossRefGoogle ScholarPubMed
Patrick, D. L., Cheadle, A., Thompson, D. C., Diehr, P., Koepsell, T., & Kinne, S. (1994). The validity of self-reported smoking: A review and meta-analysis. American Journal of Public Health, 84 (7), 1086–1093.Google Scholar
Pietrobon, R. C., & Barbisan, J. N. (2010). Impacto da cirurgia de revascularização do miocárdio na cessação do tabagismo. Revista Brasileira de Cirurgia Cardiovascular, 25 (1), 79–84.Google Scholar
Rigotti, N. A., Clair, C., Munafo, M. R., & Stead, L. F. (2012). Interventions for smoking cessation in hospitalised patients. Cochrane Database of Systematic Reviews, 5, CD001837.Google Scholar
Rigotti, N. A., McKool, K. M., & Shiffman, S. (1994). Predictors of smoking cessation after coronary artery bypass graft surgery. Results of a randomized trial with 5-year follow-up. Annals of Internal Medicine, 120 (4), 287–293.Google Scholar
Simon, J. A., Solkowitz, S. N., Carmody, T. P., & Browner, W. S. (1997). Smoking cessation after surgery. A randomized trial. Archives of Internal Medicine, 157 (12), 1371–1376.CrossRefGoogle ScholarPubMed
Smith, P. M., & Burgess, E. (2009). Smoking cessation initiated during hospital stay for patients with coronary artery disease: A randomized controlled trial. Canadian Medical Association Journal, 180 (13), 1297–1303.Google Scholar
van Domburg, R. T., Meeter, K., van Berkel, D. F., Veldkamp, R. F., van Herwerden, L. A., & Bogers, A. J. (2000). Smoking cessation reduces mortality after coronary artery bypass surgery: A 20-year follow-up study. Journal of the American College of Cardiology, 36 (3), 878–883.Google Scholar
Wong, S. L., Shields, M., Leatherdale, S., Malaison, E., & Hammond, D. (2012). Assessment of validity of self-reported smoking status. Health Republic, 23 (1), 47–53.Google ScholarPubMed
Zhang, L. J., et al. (2011). Smoking cessation rate in cardiovascular patients after percutaneous coronary intervention. Zhonghua Yi Xue Za Zhi, 91 (12), 815–818.Google Scholar