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December 15, 2024CardiosomaticsOpen Access

Clinical characteristics of patients with coronary artery disease by smoking status

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Why the study?

Most studies focus on consumption metrics rather than comprehensive smoking status, highlighting the relevance of assessing smoking types, nicotine dependence, and motivation to quit in patients with stable CAD.

Population

381 patients with CAD hospitalized for routine myocardial revascularization, including 107 active smokers

Comparison

Clinical characteristics across degrees of nicotine dependence, smoking behavior types, and motivation to quit

Authors

ONO. V. NakhratovaKemerovo State UniversityДЦД. П. ЦыганковаKemerovo State Medical AcademyITI. M. TsenterKemerovo State Medical Academy

Discussion

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Implication

Comprehensive smoking assessment may refine CV risk stratification; leaves open need for outcome trials before practice change.

Key Points

  • To evaluate the prevalence of smoking patterns, degree of nicotine dependence, and readiness to quit alongside clinical characteristics in patients with stable coronary artery disease.
  • Analyzed data from 381 patients with stable coronary artery disease hospitalized for routine myocardial revascularization, identifying 107 active smokers.
  • Assessed nicotine dependence via the Fagerstrom test, motivation to quit using the Prochaska questionnaire, and behavioral patterns using the Horn questionnaire.
  • Among smokers, 31.8% (n=34) had mild, 30.8% (n=33) moderate, 23.4% (n=25) high, and 14.0% (n=15) very high nicotine dependence.
  • Over half of smokers (56.1%, n=60) were not motivated to quit, 38.3% (n=41) were poorly motivated, and only 5.6% (n=6) were highly motivated.
  • Patients exhibiting high dependence and physical addiction patterns demonstrated more severe comorbidities, including higher rates of prior percutaneous coronary interventions, acute cardiovascular events, arterial hypertension, multifocal atherosclerosis, and multivessel disease.

Structured PICO

P
Population
381 patients with stable coronary artery disease (CAD) hospitalized for routine myocardial revascularization, including 107 active smokers.
O
Outcome
Prevalence of smoking types, degree of nicotine dependence, level of motivation to quit smoking, and clinical/medical history characteristics.

A significant proportion of smoking patients with CAD hospitalized for revascularization have low motivation to quit and varying degrees of nicotine dependence, highlighting the need for targeted smoking cessation interventions.

Cite This Study

Nakhratova et al. (2024) studied this question.

synapsesocial.com/papers/6a7806674fe2e6ffd8ed2a99https://doi.org/10.17816/cs633432
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effect of cigarette smoking on coronary arteries and pattern and severity of coronary artery disease: a review2021 · 86 citations
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  3. 3Does weight mediate the effect of smoking on coronary heart disease? Parametric mediational g-formula analysis2022 · 8 citations
  4. 4SMOKING AS A RISK FACTOR OF CARDIOVASCULAR AND CEREBROVASCULAR DISEASES: PREVALENCE, IMPACT ON PROGNOSIS, POSSIBLE SMOKING CESSATION STRATEGIES AND THEIR EFFECTIVENESS. Part 1. Smoking Prevalence and Impact on Prognosis2017 · 16 citations
  5. 5Smokeless tobacco and cardiovascular disease in low and middle income countries2013 · 59 citations