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January 1, 2016Revista Brasileira de Cardiologia Invasiva (English Edition)Open Access

Primary or rescue percutaneous coronary intervention in smokers

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Why the study?

Does smoking affect in-hospital outcomes in STEMI patients undergoing primary or rescue PCI?

Population

20,319 patients aged ≥ 18 years with acute myocardial infarction with ST-segment elevation submitted to…

Comparison

Smoking (smokers) vs Non-smokers

Design

Cross-sectional

Follow-up

in-hospital

Authors

FCFernando Augusto Molinari di Castro CuradoGCGustavo CarvalhoAFAna Tereza de Azeredo Bastos Filho

Discussion

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Overview

Distinct profiles in Brazilian smokers with STEMI undergoing PCI warrant targeted evaluation; leaves open causal implications for outcomes.

Structured PICO

Does smoking affect in-hospital outcomes in STEMI patients undergoing primary or rescue PCI?

P
Population
20,319 patients aged ≥ 18 years with acute myocardial infarction with ST-segment elevation (STEMI) submitted to primary or rescue PCI in Brazil (CENIC registry 2006-2016).
I
Intervention
Smoking (smokers)
C
Comparator
Non-smokers
O
Outcome
In-hospital mortality and major adverse cardiac eventshard clinical

The apparent protective effect of smoking on in-hospital mortality in STEMI patients undergoing PCI is explained by baseline clinical and angiographic differences rather than a true biological benefit.

Cite This Study

Curado et al. (2016) studied this question.

synapsesocial.com/papers/6a710e61660549caf2c5b027https://doi.org/10.1016/j.rbciev.2017.10.004
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A retrospective cohort study of the association between smoking and mortality after acute ST-segment elevation myocardial infarction2017 · 11 citations
  2. 2In-hospital mortality of habitual cigarette smokers after acute myocardial infarction. The 'smoker's paradox' in a countrywide study2001 · 143 citations