Association between smoking status at follow-up and clinical outcomes in patients undergoing successful percutaneous coronary intervention / 中华心血管病杂志
Chinese Journal of Cardiology
; (12): 777-780, 2009.
Article
在 Zh
| WPRIM
| ID: wpr-236405
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To assess the association between smoking status at follow-up and clinical outcomes in patients undergoing successful percutaneous coronary intervention (PCI).</p><p><b>METHODS</b>The smoking status at follow-up was investigated in 592 patients undergoing successful PCI between Jan. 2003 and Nov. 2006. The patients were divided into three groups on the basis of their smoking status at follow-up: non-smokers (n = 272), quitters (n = 215) and current smokers (n = 105). Major adverse cardiac events were recorded.</p><p><b>RESULTS</b>The average follow-up time was 19.0 months. At follow-up, current smokers were significantly younger (P < 0.01), more likely to be male (P < 0.01) than non-smokers and had more favorable clinical and angiographic characteristics: lower prevalence of hypertension (P < 0.05) and diabetes (P < 0.05), fewer diseased vessels (P < 0.05) and fewer implanted coronary stents (P < 0.01), larger target vessel diameter (P < 0.01). However, the incidence of non-fatal myocardial infarction (MI) in quitters (1.40%) was significantly higher than in nonsmokers (0.37%, P < 0.05), the incidence of nonfatal MI in current smokers (4.76%) was significantly higher than quitters (1.40%, P < 0.05) and nonsmokers (0.37%, P < 0.01). After adjustments for age, gender, hypertension, diabetes, dyslipidaemia, target vessel diameter, the number of diseased vessels, the kind and number of implanted stents, and the follow-up time, multi-variables logistic regression analysis showed that current smoking was a independent predictive factor for non-fatal MI (beta = 1.28, wald chi2 = 6.91, P < 0.01).</p><p><b>CONCLUSIONS</b>Smokers, especially current smokers, were at increased risk for non-fatal MI post successful PCI. Therefore, all patients underwent PCI should be encouraged to stop smoking.</p>
全文:
1
索引:
WPRIM
主要主题:
Prognosis
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Therapeutics
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Smoking
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Angioplasty, Balloon, Coronary
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Risk Factors
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Follow-Up Studies
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Coronary Disease
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Myocardial Infarction
研究类型:
Etiology_studies
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Observational_studies
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Prognostic_studies
/
Risk_factors_studies
限制:
Adult
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Aged
/
Aged80
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Female
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Humans
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Male
语言:
Zh
期刊:
Chinese Journal of Cardiology
年:
2009
类型:
Article