Cessation of smoking after myocardial infarction. Effects on mortality after 10 years.

A Aberg, R Bergstrand, S Johansson, G Ulvenstam, A Vedin, H Wedel, C Wilhelmsson, L Wilhelmsen

Ten annual cohorts of men suffering from their first myocardial infarction have been followed up to a maximum period of 10.5 years. One thousand and twenty-three male patients of 1306 were smokers. Three months after the infarction 55% had stopped smoking and 45% continued smoking. These two groups were then compared and followed with regard to non-fatal reinfarctions and deaths. Preinfarction characteristics were shown to be similar for the two groups. The prognostic comparability of the two groups was tested using two multiple logistic models. Those who stopped smoking had a slightly higher predicted two year mortality after the infarction. In different age groups it is shown with life table technique that those who stopped smoking had a considerably higher survival rate and lower cumulative frequency of reinfarction. The present study shows a reversion of the expected prognosis after myocardial infarction caused by changing the smoking habit.

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• Critchley, J. A., Capewell, S. (2003). Mortality Risk Reduction Associated With Smoking Cessation in Patients With Coronary Heart Disease: A Systematic Review. JAMA 290: 86-97 [Abstract] [Full Text]  
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• Rea, T. D., Heckbert, S. R., Kaplan, R. C., Smith, N. L., Lemaitre, R. N., Psaty, B. M. (2002). Smoking Status and Risk for Recurrent Coronary Events after Myocardial Infarction. ANN INTERN MED 137: 494-500 [Abstract] [Full Text]  
• Qureshi, A. I., Suri, M. F. K., Guterman, L. R., Hopkins, L. N. (2001). Ineffective Secondary Prevention in Survivors of Cardiovascular Events in the US Population: Report From the Third National Health and Nutrition Examination Survey. Arch Intern Med 161: 1621-1628 [Abstract] [Full Text]  
• Wilhelmsen, L, Pyorala, K, Wedel, H, Cook, T, Pedersen, T, Kjekshus, J, for the 4S Study Group, (2001). Risk factors for a major coronary event after myocardial infarction in the Scandinavian Simvastatin Survival Study (4S). Impact of predicted risk on the benefit of cholesterol-lowering treatment. Eur Heart J 22: 1119-1127 [Abstract]  
• Deckers, J.W. (2001). Smoking and survival in acute coronary syndrome: the fog is clearing. Eur Heart J 22: 724-726  
• Wilson, K., Gibson, N., Willan, A., Cook, D. (2000). Effect of Smoking Cessation on Mortality After Myocardial Infarction: Meta-analysis of Cohort Studies. Arch Intern Med 160: 939-944 [Abstract] [Full Text]  
• Van Berkel, T.F.M., Boersma, H., Roos-Hesselink, J.W., Erdman, R.A.M., Simoons, M.L. (1999). Impact of smoking cessation and smoking interventions in patients with coronary heart disease. Eur Heart J 20: 1773-1782  
• Van Berkel, T.F.M., Boersma, H., De Baquer, D., Deckers, J.W., Wood, D. (1999). Registration and management of smoking behaviour in patients with coronary heart disease. The EUROASPIRE survey. Eur Heart J 20: 1630-1637 [Abstract]  
• Hendrick, D J, Mitchell, D M (1998). Introduction. Thorax 53: S2-2  
• Voors, A. A., van Brussel, B. L., Thijs Plokker, H.W., Ernst, S. M.P.G., Ernst, N. M., Koomen, E. M., Tijssen, J. G.P., Vermeulen, F. E.E. (1996). Smoking and Cardiac Events After Venous Coronary Bypass Surgery : A 15-Year Follow-up Study. Circulation 93: 42-47 [Abstract] [Full Text]  
• Hamsten, A. (1991). Myocardial infarction at a young age: mechanisms and management. Vasc Med 2: 45-60  
• Taylor, C. B., Houston-Miller, N., Killen, J. D., DeBusk, R. F. (1990). Smoking Cessation after Acute Myocardial Infarction: Effects of a Nurse-Managed Intervention. ANN INTERN MED 113: 118-123 [Abstract]  
• Siegel, D., Grady, D., Browner, W. S., Hulley, S. B. (1988). Risk Factor Modification after Myocardial Infarction. ANN INTERN MED 109: 213-218 [Abstract]  
• Samuelsson, O., Wilhelmsen, L., Andersson, O. K., Pennert, K., Berglund, G. (1987). Cardiovascular Morbidity in Relation to Change in Blood Pressure and Serum Cholesterol Levels in Treated Hypertension: Results From the Primary Prevention Trial in Goteborg, Sweden. JAMA 258: 1768-1776 [Abstract]  
• Imperial, E. S (1987). Approach to cardiac rehabilitation. Clin Rehabil 1: 203-210 [Abstract]  
• Vlietstra, R. E., Kronmal, R. A., Oberman, A., Frye, R. L., Killip, T. III (1986). Effect of Cigarette Smoking on Survival of Patients With Angiographically Documented Coronary Artery Disease: Report From the CASS Registry. JAMA 255: 1023-1027 [Abstract]  
• Salonen, J. T., Hamynen, H., Heinonen, O. P. (1985). Impact of a Health Education Program and Other Factors on Stopping Smoking after Heart Attack. Scand J Public Health 13: 103-108 [Abstract]