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Published on: March 27, 2018

Smoking cessation is associated with reduced long-term mortality and the need for repeat interventions after coronary

Athanasios Papathanasiou1, Haralampos Milionis, Ioannis Toumpoulis

  • 1Department of Cardiology, University Hospital of Ioannina, Ioannina, Greece.

European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology
|June 15, 2007
PubMed

Insights

Smoking cessation after coronary artery bypass grafting (CABG) significantly reduces long-term mortality and the need for repeat procedures. Continued smoking post-CABG is linked to increased cardiovascular death and revascularization needs.

Area of Science:

  • Cardiology
  • Public Health
  • Thoracic Surgery

Background:

  • Coronary artery bypass grafting (CABG) is a common procedure for severe coronary artery disease.
  • Smoking is a major risk factor for cardiovascular disease and impacts surgical outcomes.
  • The long-term effects of continued smoking versus cessation after CABG require further elucidation.

Purpose of the Study:

  • To assess the impact of smoking cessation on long-term mortality after CABG.
  • To evaluate the effect of smoking status on the need for repeat revascularization procedures post-CABG.

Main Methods:

  • Prospective study design.
  • Inclusion of 1027 patients undergoing their first-ever CABG.
  • Follow-up over 5310 patient-years, comparing current smokers, quitters, and never smokers.

Main Results:

  • Among 640 active smokers, 44.7% continued smoking post-CABG.
  • Current smokers, compared to never smokers, showed a 2.6-fold increased risk of total mortality and a 4.8-fold increased risk of cardiovascular mortality.
  • Current smokers also had a 1.7-fold increased risk of requiring a repeat revascularization procedure.

Conclusions:

  • Smoking cessation after CABG is associated with improved long-term survival.
  • Continued smoking post-CABG significantly increases mortality, particularly cardiovascular mortality.
  • Smoking cessation is crucial for reducing the need for repeat revascularization procedures in CABG patients.
Abstract

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