Abstract
Ten annual cohorts of men suffering from their first myocardial infarction have been followed up to a maximum period of 10.5 years. One thousand and twenty-three male patients of 1306 were smokers. Three months after the infarction 55% had stopped smoking and 45% continued smoking. These two groups were then compared and followed with regard to non-fatal reinfarctions and deaths. Preinfarction characteristics were shown to be similar for the two groups. The prognostic comparability of the two groups was tested using two multiple logistic models. Those who stopped smoking had a slightly higher predicted two year mortality after the infarction. In different age groups it is shown with life table technique that those who stopped smoking had a considerably higher survival rate and lower cumulative frequency of reinfarction. The present study shows a reversion of the expected prognosis after myocardial infarction caused by changing the smoking habit.
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Selected References
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- Doll R., Peto R. Mortality in relation to smoking: 20 years' observations on male British doctors. Br Med J. 1976 Dec 25;2(6051):1525–1536. doi: 10.1136/bmj.2.6051.1525. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Elmfeldt D., Wilhelmsen L., Tibblin G., Vedin J. A., Wilhelmsson C. E., Bengtsson C. A postmyocardial infarction clinic in Göteborg, Sweden. A follow-up of MI patients in a specialized out-patient clinic. Acta Med Scand. 1975 Jun;197(6):497–502. [PubMed] [Google Scholar]
- Elmfeldt D., Wilhelmsen L., Tibblin G., Vedin J. A., Wilhelmsson C. E., Bengtsson C. Registration of myocardial infarction in the city of Göteborg, Sweden. J Chronic Dis. 1975 Mar;28(3):173–186. doi: 10.1016/0021-9681(75)90005-3. [DOI] [PubMed] [Google Scholar]
- Hammond E. C., Garfinkel L. Coronary heart disease, roke, and aortic aneurysm. Factors in the etiology. Arch Environ Health. 1969 Aug;19(2):167–182. [PubMed] [Google Scholar]
- Mulcahy R., Hickey N., Graham I. M., MacAirt J. Factors affecting the 5 year survival rate of men following acute coronary heart disease. Am Heart J. 1977 May;93(5):556–559. doi: 10.1016/s0002-8703(77)80003-3. [DOI] [PubMed] [Google Scholar]
- Reid D. D., Hamilton P. J., McCartney P., Rose G., Jarrett R. J., Keen H. Smoking and other risk factors for coronary heart-disease in British civil servants. Lancet. 1976 Nov 6;2(7993):979–984. doi: 10.1016/s0140-6736(76)90830-8. [DOI] [PubMed] [Google Scholar]
- Salonen J. T. Stopping smoking and long-term mortality after acute myocardial infarction. Br Heart J. 1980 Apr;43(4):463–469. doi: 10.1136/hrt.43.4.463. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sparrow D., Dawber T. R. The influence of cigarette smoking on prognosis after a first myocardial infarction. A report from the Framingham study. J Chronic Dis. 1978;31(6-7):425–432. doi: 10.1016/0021-9681(78)90006-1. [DOI] [PubMed] [Google Scholar]
- Vedin A., Wilhelmsen L., Wedel H., Pettersson B., Wilhelmsson C., Elmfeldt D., Tibblin G. Prediction of cardiovascular deaths and non-fatal reinfarctions after myocardial infarction. Acta Med Scand. 1977;201(4):309–316. doi: 10.1111/j.0954-6820.1977.tb15705.x. [DOI] [PubMed] [Google Scholar]
- Vedin A., Wilhelmsson C., Elmfeldt D., Säve-Söderbergh J., Tibblin G., Wilhelmsen L. Deaths and non-fatal reinfarctions during two years' follow-up after myocardial infarction. Acta Med Scand. 1975 Nov;198(5):353–364. doi: 10.1111/j.0954-6820.1975.tb19557.x. [DOI] [PubMed] [Google Scholar]
- Wilhelmsen L. One year's experience in an anti-smoking clinic. Scand J Respir Dis. 1968;49(4):251–259. [PubMed] [Google Scholar]
- Wilhelmsson C., Vedin J. A., Elmfeldt D., Tibblin G., Wilhelmsen L. Smoking and myocardial infarction. Lancet. 1975 Feb 22;1(7904):415–420. doi: 10.1016/s0140-6736(75)91488-9. [DOI] [PubMed] [Google Scholar]