2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland; Department of Interventional Cardiology, Jagiellonian University Medical College, Krakow, Poland.
2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland
Kardiol Pol. 2018;76(1):125-129. doi: 10.5603/KP.a2017.0167. Epub 2017 Aug 23.
Nicotine addiction is the strongest factor in the increase of the risk of recurrent ischaemic events.
The aim of the study was to analyse the effectiveness of a smoking cessation educational programme in a population of patients hospitalised with acute myocardial infarction within the "Heart without smoke" campaign.
In this study, we included 100 consecutive patients, active smokers, hospitalised with acute myocardial infarction (STEMI or NSTEMI) at the Centre for Invasive Cardiology, Angiology, and Electrotherapy in Pinczow, Poland in the period from January to December 2015 (12 months). Patients were participants in the educational campaign about tobacco addiction "Heart without smoke".
At one-month follow-up observation: 61 patients had quit smoking and an additional 35 had decreased the number of cigarettes smoked per day. During six-month follow-up interview: 51 patients did not smoke cigarettes (13 had returned to smoking, three had additionally stopped smoking, one person had died). There were no statistically significant correlations between smoking cessation and gender (p = 0.4; p = 0.2), age (p = 0.8; p = 0.8) and length of prior smoking habit (p = 0.8; p = 0.5) and daily cigarette consumption before myocardial infarctions (p = 0.3; p = 0.3), one month, and six months after hospital discharge, respectively.
Constant education of patients after myocardial infarction was an effective method for smoking cessation in over 50% of smokers six months after myocardial infarction.
尼古丁成瘾是增加复发性缺血事件风险的最强因素。
本研究旨在分析在“无烟心脏”活动中,对因急性心肌梗死住院的患者进行戒烟教育计划的效果。
在这项研究中,我们纳入了 2015 年 1 月至 12 月期间在波兰皮钦佐的介入心脏病学、血管学和电疗中心因急性心肌梗死(STEMI 或 NSTEMI)住院的 100 例连续吸烟者。患者均为“无烟心脏”烟草成瘾教育活动的参与者。
在一个月的随访观察中:61 例患者已经戒烟,另外 35 例患者减少了每天吸烟的数量。在六个月的随访访谈中:51 例患者不吸烟(13 例重新吸烟,3 例另外停止吸烟,1 例死亡)。戒烟与性别(p=0.4;p=0.2)、年龄(p=0.8;p=0.8)以及吸烟习惯的长短(p=0.8;p=0.5)和心梗前每天吸烟量(p=0.3;p=0.3)之间均无统计学显著相关性,分别为出院后一个月和六个月。
心肌梗死后对患者的持续教育是在心肌梗死后六个月内使 50%以上吸烟者戒烟的有效方法。