Featured Research

from universities, journals, and other organizations

Most Smokers Continue To Light Up After Heart Surgery

Date:
November 12, 1998
Source:
American Heart Association
Summary:
Almost three in five smokers who undergo surgery for heart disease continue to smoke after their procedure, according to a study presented at the American Heart Association's 71st Annual Scientific Sessions.

DALLAS, Nov. 11 -- Almost three in five smokers who undergo surgery for heart disease continue to smoke after their procedure, according to a study presented today at the American Heart Association's 71st Annual Scientific Sessions. "We were surprised by the finding that so many people continued to smoke after surgery," says presenting author Bonnie H. Weiner, M.D., professor of medicine and medical director, Center for Research in Invasive and Interventional Cardiology at the University of Massachusetts Medical School, Worcester. Individuals in the study had undergone either angioplasty, a procedure to re-open blocked blood vessels, or coronary artery bypass surgery which uses artery or vein grafts to route blood around a blockage.

"We thought that individuals who needed the operations would have been shaken up enough to stop -- but that was not the case for almost 60 percent," Weiner says. "It was their first procedure, but many had a long history of heart disease." In this study, it was up to physicians and nurses to encourage patients to stop smoking by referring them to programs, says lead author Sheryl F. Kelsey, Ph.D., an epidemiologist at the University of Pittsburgh Graduate School of Public Health.

"In the past, patients tended to stay in the hospital for at least two weeks, and that gave physicians more opportunity to educate them about the need to quit. Back then they had a captive audience. Today, patients are in and out." Researchers examined a group of 1,829 individuals who had bypass surgery or angioplasty. Weiner and her colleagues sought to determine which individuals were most likely to continue smoking. In the study, about 25 percent were smokers and about 44 percent were former smokers who had quit prior to their procedure.

At a five-year follow-up, the researchers found that just over 40 percent of active smokers had quit smoking. Individuals were defined as "permanent quitters" if they had not smoked since their procedure. Researchers characterized those who did not quit as "die-hard" smokers.

The researchers found that younger patients and African Americans were more likely to be "die-hard" smokers, as were those with a prior history of heart attack and those with poor or fair self-rated general health. Individuals who had high blood pressure or diabetes were less likely to be "die-hard" smokers.

"The black population has been identified in many prevention studies as being especially at risk for smoking-related illnesses, including heart disease," Kelsey says. "We need to pay special attention to these findings -- blacks represent a specific target for our intervention efforts."

Smoking patterns did not differ between men and women, and compared to non-smokers, smokers did not have higher cholesterol, a blood fat that can increase the risk of heart attacks. Individuals who were married or were living with a partner were more successful in kicking their smoking habit and less likely to have smoked at any time, the researchers report.

Older patients and those who reported they were healthy prior to surgery were also less likely to smoke. Patients who underwent bypass surgery were less likely to be "die-hard" smokers than those who had angioplasty.

Individuals who stopped smoking shortly before their angioplasty or bypass surgery were more prone to start smoking again during the follow-up period, says Kelsey.

"Maybe it was short-term panic about their need for an operation that made them quit for a short period," she explains. "We know that individuals who stopped smoking years earlier were far less likely to resume."

Kelsey says smoking cessation education may be compromised because healthcare workers are limited in the time they spend with patients.

The study participants were enrolled in the Bypass and Angioplasty Revascularization Investigation (BARI) study, a multicenter study funded by the National Heart, Lung, and Blood Institute. BARI, which began examining outcomes of angioplasty and heart bypass procedures in 1988, includes smoking cessation guidelines as part of its protocol, but does not include formal intervention programs.

Co-authors are Helen A. Vlachos, M.S.; Vera Bittner, M.D.; William Feng, M.D.; Sylvia Matheson, R.N.; Johanne Trudel, R.N.; Bertram Pitt, M.D.; and Alice K. Jacobs, M.D.


Story Source:

The above story is based on materials provided by American Heart Association. Note: Materials may be edited for content and length.


Cite This Page:

American Heart Association. "Most Smokers Continue To Light Up After Heart Surgery." ScienceDaily. ScienceDaily, 12 November 1998. <www.sciencedaily.com/releases/1998/11/981112075613.htm>.
American Heart Association. (1998, November 12). Most Smokers Continue To Light Up After Heart Surgery. ScienceDaily. Retrieved September 17, 2014 from www.sciencedaily.com/releases/1998/11/981112075613.htm
American Heart Association. "Most Smokers Continue To Light Up After Heart Surgery." ScienceDaily. www.sciencedaily.com/releases/1998/11/981112075613.htm (accessed September 17, 2014).

Share This



More Health & Medicine News

Wednesday, September 17, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

President To Send 3,000 Military Personnel To Fight Ebola

President To Send 3,000 Military Personnel To Fight Ebola

Newsy (Sep. 16, 2014) President Obama is expected to send 3,000 troops to West Africa as part of the effort to contain Ebola's spread. Video provided by Newsy
Powered by NewsLook.com
Obama Orders Military Response to Ebola

Obama Orders Military Response to Ebola

AP (Sep. 16, 2014) Calling the Ebola outbreak in West Africa a potential threat to global security, President Barack Obama is ordering 3,000 U.S. military personnel to the stricken region amid worries that the outbreak is spiraling out of control. (Sept. 16) Video provided by AP
Powered by NewsLook.com
UN: 20,000 Could Be Infected With Ebola by Year End

UN: 20,000 Could Be Infected With Ebola by Year End

AFP (Sep. 16, 2014) Nearly $1.0 billion dollars is needed to fight the Ebola outbreak raging in west Africa, the United Nations say, warning that 20,000 could be infected by year end. Duration: 00:40 Video provided by AFP
Powered by NewsLook.com
Obama: Ebola Outbreak Threat to Global Security

Obama: Ebola Outbreak Threat to Global Security

AP (Sep. 16, 2014) President Obama is ordering U.S. military personnel to West Africa to deal with the Ebola outbreak, which is he calls a potential threat to global security. (Sept. 16) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

    Technology News



    Save/Print:
    Share:

    Free Subscriptions


    Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

    Get Social & Mobile


    Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

    Have Feedback?


    Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
    Mobile: iPhone Android Web
    Follow: Facebook Twitter Google+
    Subscribe: RSS Feeds Email Newsletters
    Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins