Smoking cessation after an acute coronary syndrome: immediate quitters are successful quitters

doi:10.1007/s12471-015-0755-9

. 2015 Dec;23(12):600-7.

doi: 10.1007/s12471-015-0755-9.

Smoking cessation after an acute coronary syndrome: immediate quitters are successful quitters

M Snaterse¹, W J M Scholte Op Reimer², J Dobber², M Minneboo³, G Ter Riet⁴, H T Jorstad³, S M Boekholdt³, R J G Peters³

Affiliations

¹ University of Applied Sciences, Hogeschool van Amsterdam, Amsterdam School of Health Professions, Tafelbergweg 51, 1105 BD, Amsterdam, The Netherlands. m.snaterse@hva.nl.
² University of Applied Sciences, Hogeschool van Amsterdam, Amsterdam School of Health Professions, Tafelbergweg 51, 1105 BD, Amsterdam, The Netherlands.
³ Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands.
⁴ Department of General Practice, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

PMID: 26449241
PMCID: PMC4651958
DOI: 10.1007/s12471-015-0755-9

Smoking cessation after an acute coronary syndrome: immediate quitters are successful quitters

M Snaterse et al. Neth Heart J. 2015 Dec.

. 2015 Dec;23(12):600-7.

doi: 10.1007/s12471-015-0755-9.

Authors

M Snaterse¹, W J M Scholte Op Reimer², J Dobber², M Minneboo³, G Ter Riet⁴, H T Jorstad³, S M Boekholdt³, R J G Peters³

Affiliations

¹ University of Applied Sciences, Hogeschool van Amsterdam, Amsterdam School of Health Professions, Tafelbergweg 51, 1105 BD, Amsterdam, The Netherlands. m.snaterse@hva.nl.
² University of Applied Sciences, Hogeschool van Amsterdam, Amsterdam School of Health Professions, Tafelbergweg 51, 1105 BD, Amsterdam, The Netherlands.
³ Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands.
⁴ Department of General Practice, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

PMID: 26449241
PMCID: PMC4651958
DOI: 10.1007/s12471-015-0755-9

Abstract

Background: Cardiovascular disease (CVD) prevention guidelines stress the importance of smoking cessation and recommend intensive follow-up. To guide the development of such cessation support strategies, we analysed the characteristics that are associated with successful smoking cessation after an acute coronary syndrome (ACS).

Methods: We used data from the Randomised Evaluation of Secondary Prevention for ACS patients coordinated by Outpatient Nurse SpEcialists (RESPONSE) trial (n = 754). This was designed to quantify the impact of a nurse-coordinated prevention program, focusing on healthy lifestyles, traditional CVD risk factors and medication adherence. For the current analysis we included all smokers (324/754, 43 %). Successful quitters were defined as those who reported abstinence at 1 year of follow-up.

Results: The majority of successful quitters quit immediately after the ACS event and remained abstinent through 1 year of follow-up, without extra support (128/156, 82 %). Higher education level (33 vs. 15 %, p < 0.01), no history of CVD (87 vs. 74 %, p < 0.01) and being on target for LDL-cholesterol level at 1 year (78 vs. 63 %, p < 0.01) were associated with successful quitting.

Conclusion: The majority of successful quitters at 1 year stopped immediately after their ACS. Patients in this group showed that it was within their own ability to quit, and they did not relapse through 1 year of follow-up. Our study indicates that in a large group of patients who quit immediately after a life-threatening event, no relapse prevention program is needed.

Keywords: Acute coronary syndrome; Secondary prevention; Smoking cessation.

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Figures

**Fig. 1**
Flowchart of 324 smokers after an acute coronary syndrome (ACS) from hospital admission up to 1-year follow-up

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References

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[1] Yusuf S, Hawken S, Ounpuu S. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004;364:937–52. doi: 10.1016/S0140-6736(04)17018-9. - DOI - PubMed

[2] Yusuf S, Hawken S, Ounpuu S. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004;364:937–52. doi: 10.1016/S0140-6736(04)17018-9. - DOI - PubMed

[3] Jukema JB, Bagnasco DE, Jukema RA. Waterpipe smoking: not necessarily less hazardous than cigarette smoking: Possible consequences for (cardiovascular) disease. Neth Heart J. 2014;22:91–9. doi: 10.1007/s12471-013-0501-0. - DOI - PMC - PubMed

[4] Jukema JB, Bagnasco DE, Jukema RA. Waterpipe smoking: not necessarily less hazardous than cigarette smoking: Possible consequences for (cardiovascular) disease. Neth Heart J. 2014;22:91–9. doi: 10.1007/s12471-013-0501-0. - DOI - PMC - PubMed

[5] Iestra JA, Kromhout D, van der Schouw YT. Effect size estimates of lifestyle and dietary changes on all-cause mortality in coronary artery disease patients: a systematic review. Circulation. 2005;112:924–34. doi: 10.1161/CIRCULATIONAHA.104.503995. - DOI - PubMed

[6] Iestra JA, Kromhout D, van der Schouw YT. Effect size estimates of lifestyle and dietary changes on all-cause mortality in coronary artery disease patients: a systematic review. Circulation. 2005;112:924–34. doi: 10.1161/CIRCULATIONAHA.104.503995. - DOI - PubMed

[7] Critchley J, Capewell S. Smoking cessation for the secondary prevention of coronary heart disease. Cochrane Database Syst Rev. 2004;1:CD003041. - PubMed

[8] Critchley J, Capewell S. Smoking cessation for the secondary prevention of coronary heart disease. Cochrane Database Syst Rev. 2004;1:CD003041. - PubMed

[9] Chow CK, Jolly S, Rao-Melacini P. Association of diet, exercise, and smoking modification with risk of early cardiovascular events after acute coronary syndromes. Circulation. 2010;121:750–8. doi: 10.1161/CIRCULATIONAHA.109.891523. - DOI - PubMed

[10] Chow CK, Jolly S, Rao-Melacini P. Association of diet, exercise, and smoking modification with risk of early cardiovascular events after acute coronary syndromes. Circulation. 2010;121:750–8. doi: 10.1161/CIRCULATIONAHA.109.891523. - DOI - PubMed

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Smoking cessation after an acute coronary syndrome: immediate quitters are successful quitters

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Smoking cessation after an acute coronary syndrome: immediate quitters are successful quitters

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