Smoking ban in public areas is associated with a reduced incidence of hospital admissions due to ST-elevation myocardial infarctions in non-smokers. Results from the BREMEN STEMI REGISTRY

Schmucker, Johannes; Wienbergen, Harm; Seide, Susanne; Fiehn, Eduard; Fach, Andreas; Würmann-Busch, B; Gohlke, H.; Günther, Kathrin; Ahrens, Wolfgang; Hambrecht, Rainer

doi:10.1177/2047487313483610

Cited by 38 publications

(19 citation statements)

References 32 publications

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“…The timing of banning of smoking in restaurants resulted in a decrease in hospitals admissions for STEMI between 5-20%. The non-smoking population accounted for this decline, while the number of infarctions in the smoking group remained stable 13 .…”

Section: Risk Factor Modification and Altered Incidence Of Acute Cardmentioning

confidence: 96%

Temporal shifts in clinical presentation and underlying mechanisms of atherosclerotic disease

2016

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The concept of "the vulnerable plaque" originated from pathological observations in patients who succumbed to fatal acute coronary syndromes. This recognition spawned a generation of research that led to achievement of considerable understanding of how complicated atherosclerotic plaques form and precipitate thrombotic events.In current practice, an increasing number of patients present with non ST-elevation myocardial infarction (NSTEMI) rather than myocardial infarction (MI) with ST-elevation Key points• An increasing number of patients presenting with myocardial infarction (MI) are diagnosed with a non ST-elevated myocardial infarction (NSTEMI) rather than a MI with ST-elevation (STEMI) and consequently survive their first event.• The shift in the clinical presentations of the acute coronary syndromes mandates a critical reassessment of the underlying mechanisms and the concept of the 3 vulnerable plaque.• The change in clinical presentation and warrant critical re-assessment of currently applied cardiovascular risk scores, pre-clinical experiments, and the usefulness of population data and samples harvested before the application of current preventive interventions.4

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Section: Risk Factor Modification and Altered Incidence Of Acute Cardmentioning

confidence: 96%

Temporal shifts in clinical presentation and underlying mechanisms of atherosclerotic disease

2016

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“…A recent Cochrane review reported evidence of reduced admission rates for acute coronary syndrome and reduced mortality from smoking-related illnesses due to the implementation of World health organization recommended anti-smoking legislation initiatives [17,18]. Results from Germany concur with these developments, but emphasize that reduced hospital admission rates for ST-elevation AMI in the period after implementing anti-smoking legislation were predominantly observed in non-smokers [19]. Reduced exposure to ETS by public smoking bans may reduce cardiovascular risk for non-smokers without measurably protecting smokers due to the prevailing effect of active smoking [19].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with smoking cessation in patients with coronary heart disease: a cohort analysis of the German subset of EuroAspire IV survey

Goettler¹,

Wagner²,

Faller³

et al. 2020

BMC Cardiovasc Disord

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Background: Tobacco smoking is one of the most important risk factors of coronary heart disease (CHD). Hence, smoking cessation is considered pivotal in the prevention of CHD. The current study aimed to evaluate smoking cessation patterns and determine factors associated with smoking cessation in patients with established CHD. Methods: The fourth European Survey of Cardiovascular Disease Prevention and Diabetes investigated quality of CHD care in 24 countries across Europe in 2012/13. In the German subset, smoking cessation patterns and clinical characteristics were repetitively assessed a) during index event due to CHD by medical record abstraction, b) as part of a face-to-face interview 6 to 36 months after the index event (i.e. baseline visit), and c) by telephone-based follow-up interview two years after the baseline visit. Logistic regression analysis was performed to search for factors determining smoking status at the time of the telephone interview. Results: Out of 469 participants available for follow-up, 104 (22.2%) had been classified as current smokers at the index event. Of those, 65 patients (62.5%) had quit smoking at the time of the telephone interview, i.e., after a median observation period of 3.5 years (quartiles 3.0, 4.1). Depressed mood at baseline visit and higher education level were less prevalent amongst quitters vs non-quitters (17.2% vs 35.9%, p = 0.03 and 15.4% vs 33.3%, p = 0.03), cardiac rehabilitation programs were more frequently attended by quitters (83.1% vs 48.7%, p < 0.001), and there was a trend for a higher prevalence of diabetes at baseline visit in quitters (37.5% vs 20.5%, p = 0.07). In the final multivariable model, cardiac rehabilitation was associated with smoking cessation (OR 5.19; 95%CI 1.87 to 14.46; p = 0.002). Discussion: Attending a cardiac rehabilitation program after a cardiovascular event was associated with smoking cessation supporting its use as a platform for smoking cessation counseling and relapse prevention.

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“…Die Effektivität öffentlicher Maßnahmen zur Reduktion des Passivrauchens ist ebenfalls gut belegt: Schmucker u. Mitarb. konnten zeigen, dass die Einführung von Nichtraucherschutzgesetzen zu einer signifikanten Reduktion der Krankenhausaufnahmen wegen Myokardinfarkten führt und weiter ausgeweitet werden sollte [14].…”

Section: Prävention In Der Bevölkerungunclassified

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Wienbergen

Fach

Langer

et al. 2020

Aktuelle Kardiologie

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ZusammenfassungAktuelle Versorgungsstudien zeigen eine alarmierende Zunahme Lebensstil-assoziierter kardiovaskulärer Risikofaktoren, wie Adipositas und körperliche Inaktivität, in der Gesamtbevölkerung und bei Patienten mit Herz-Kreislauf-Erkrankungen. Um dem entgegenzuwirken, ist es wichtig, Patienten nach Koronarereignissen langfristig zu Verhaltensänderungen zu motivieren. Eine kürzlich publizierte Studie zeigte, dass ein intensives Präventionsprogramm (IPP) für 12 Monate, das primär von nicht ärztlichen Präventionsassistenten durchgeführt wurde und auf engmaschigen Kontakten zu den Patienten beruhte, die kardiovaskulären Risikofaktoren nachhaltig besser einstellen konnte. In der Gesamtbevölkerung ist eine Anleitung zu Lebensstilmodifikationen in verschiedenen Lebensphasen wichtig: beginnend im Kindes- und Jugendalter, über das Berufsleben, bis hin zum Rentenalter. Ein besonders hoher Bedarf besteht in Bevölkerungsschichten mit niedrigem sozioökonomischen Status. Durch präventive Maßnahmen, wie Aufklärung zu mehr Bewegung, gesunder Ernährung und Nicht-Rauchen, kann hier ein großer Beitrag geleistet werden, die kardiovaskuläre Morbidität und Letalität zu senken.

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Smoking ban in public areas is associated with a reduced incidence of hospital admissions due to ST-elevation myocardial infarctions in non-smokers. Results from the BREMEN STEMI REGISTRY

Cited by 38 publications

References 32 publications

Temporal shifts in clinical presentation and underlying mechanisms of atherosclerotic disease

Temporal shifts in clinical presentation and underlying mechanisms of atherosclerotic disease

Factors associated with smoking cessation in patients with coronary heart disease: a cohort analysis of the German subset of EuroAspire IV survey

Update Lebensstil – Was funktioniert in der Praxis?

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