Dr Muhammad Shoaib Aslam, Suman Arooj, Dr. Saad Tariq
Background: It is an established fact that cigarette smoking has been associated with long-term cardiovascular diseases. Today it is a major risk factor for all manifestations of coronary artery disease, stroke, and peripheral vascular disease. Acute coronary syndrome patients, who quit smoking, reduce their risk of cardiovascular disease as compared to patients who don’t. We undertook this study to determine the frequency of smoking cessation after counselling in patients of acute coronary syndrome (ACS). Methods: Patients of both genders between 35–80 years diagnosed with Acute coronary syndrome enrolled in emergency within 12 hours of presenting with symptoms, had a history of smoking (less than 1pack year for >5 years) were included in the study. 225 patients were enrolled in the study in emergency of Services hospital, Lahore for the duration of six months with their informed consent. We collected the data regarding their demographic information. Patients had counselling session with researchers in presence of psychiatrist from Department of Psychiatry, Services hospital, Lahore. All patients were admitted in ward and received standard in-hospital smoking cessation care which consisted of an assessment and a personalized brief advice to quit smoking. A 12-week follow-up was undertaken consisting weekly visits, included counselling for smoking cessation. Patients were assessed after 12 weeks for cessation of smoking. Results: Only 37 (16.4%) in ACS patients showed smoking cessation. Patients >65 years of age showed highest cessation rate, i.e., 35.1%. Patients having BMI <30 (70.3%) showed the highest cessation rate, Factors such as low socioeconomic status (45.9%) and educational status as under matric (40.5%) were not associated significantly with smoking cessation in patients who presented with ACS. Conclusion: The results of this study suggest low frequency of smoking cessation among patients with ACS. However, we found that there is a dire need to identify factors that are responsible for failure in smoking cessation.