Coronary characteristics of young smokers with coronary heart disease and the effects of tobacco control on smoking cessation
10.3760/cma.j.issn.0253-3758.2010.12.005
- VernacularTitle:青年吸烟冠心病患者冠状动脉病变特点和控烟干预
- Author:
Jing ZHAO
1
;
Da-Yi HU
;
Rong-Jing DING
;
Xue-Bin LI
;
Ping ZHANG
;
Long WANG
;
Xiao-Jun YU
;
Ji-Hong GUO
;
Xiao-Qing WANG
;
Lei LI
;
Fei-Fei ZHANG
;
Zhen-Wen HUANG
Author Information
1. 北京大学人民医院
- Keywords:
Coronary disease;
Smoking cessation;
Coronary angiography
- From:
Chinese Journal of Cardiology
2010;38(12):1077-1080
- CountryChina
- Language:Chinese
-
Abstract:
Objective Coronary features of young smokers and non-smokers with coronary heart disease were compared and the effect of tobacco control education was analyzed. Methods A total of 160 young patients (14-35 years old ) diagnosed with coronary heart disease by coronary angiography were included in this study, patients were followed up for 3 months. There were 118 smokers and 42 nonsmokers, smokers were further divided to psychological counseling intervention group (68 cases) and control group (50 cases ), non-smokers were also divided into psychological counseling intervention group (22 cases) and control group ( 20 cases). Results Incidence of single-vessel lesion (50. 84% vs. 66. 67% )was significantly lower, acute coronary syndrome (75.42% vs. 50. 00% ), double-vessel lesions (24. 58%vs. 19. 05% ), three-vessel lesions ( 11.86% vs. 4. 74% ) as well as coronary artery ectasias ( 12.71%vs. 9. 52% ) was significantly higher in smokers than in non-smokers. Gensini scores (61.94 ±40. 35 vs.45.08 ± 28.97 ) was significantly higher in smokers than in non-smokers ( all P ＜ 0. 05 ). At the end 3-months follow up, smoking cessation rate was significantly higher in psychological counseling intervention group than in control group (61.76% vs. 30. 00%, P ＜ 0. 05 ). New smokers was zero in psychological counseling intervention group and 1 in control group among previou non-smokers. Conclusion Smoking is linked with severe coronary artery lesion in young patients with coronary heart disease and psychological counseling intervention could significantly increase the short-term successful smoking cessation rate in these patients.
