Changes in smoking behavior and adherence to preventive guidelines among smokers after a heart attack

Title
Changes in smoking behavior and adherence to preventive guidelines among smokers after a heart attack
Author(s)
박종선최윤정[최윤정]김웅이상희김영조손장원신동구정명호[정명호]안영근[안영근]조명찬[조명찬]배장환[배장환]김종진[김종진]조진만[조진만]한규록[한규록]이준희[이준희]
Keywords
MYOCARDIAL-INFARCTION; CARDIOVASCULAR-DISEASE; CORONARY; CESSATION; RISK; MORTALITY; EVENTS; UPDATE
Issue Date
201306
Publisher
SCIENCE PRESS
Citation
JOURNAL OF GERIATRIC CARDIOLOGY, v.10, no.2, pp.146 - 150
Abstract
Objective Risk factor modification is key to preventing subsequent cardiac events after a heart attack. This study was designed to investigate the disparity between preventive guidelines and clinical practice among smoking patients. Methods The study was carried out in smokers admitted with myocardial infarction (MI). A total of 275 patients who had been regularly followed for over one year after MI were randomly selected and enrolled in this study. We investigated changes in smoking behavior and the adherence rate to ACC/AHA Guidelines for secondary prevention in patients with coronary artery disease at the time of, and one year after, the index event. Results The study population consisted of 275 patients (97.1% males) with a mean age of 57.0 +/- 11.2 years. Achievement of target goals at one year was as follows: smoking cessation, 52.3%; blood pressure, 83.9%; HbA1c, 32.7%; lipid profile, 65.5%; and body mass index (BMI), 50.6%. Over one year, 80% of the patients attempted to quit smoking; 27% of them re-started smoking within one month after discharge while 65% succeeded in cessation of smoking. At one year, only 52% of the patients overall had stopped smoking. From the multivariate logistic analysis including smoking patterns and clinical characteristics, the severity of coronary artery disease was the only independent predictor for smoking cessation (Relative risk (RR): 1.230; P = 0.022). Conclusions Only a small percentage of MI patients adhere to guidelines for secondary prevention and a sizable proportion fail to stop smoking. These findings underscore the need for an effective patient education system.
URI
http://hdl.handle.net/YU.REPOSITORY/30006http://dx.doi.org/10.3969/j.issn.1671-5411.2013.02.006
ISSN
1671-5411
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의과대학 > 내과학교실 > Articles
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