Login
Search
Search
0 Dates
2026
2025
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
CPC 2025
CPC 2026
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Persistent Smoking Habits after Acute Coronary Syndrome
Session:
Sessão de Posters 32 - Comportamento, mente e metabolismo
Speaker:
Rui Miguel Gomes
Congress:
CPC 2026
Topic:
J. Preventive Cardiology
Theme:
28. Risk Factors and Prevention
Subtheme:
28.5 Tobacco
Session Type:
Posters Eletrónicos
FP Number:
---
Authors:
Rui Miguel Gomes; Márcia Presume; C. Santos-Jorge; André Moniz Garcia; Marisa Trabulo; Jorge Ferreira; Pedro Adragão; Carlos Aguiar
Abstract
<p><strong>Background:</strong> Smoking cessation after an acute coronary syndrome (ACS) is essential for secondary prevention, yet many patients relapse early and continue smoking. Identifying factors associated with persistent smoking may help refine targeted cessation strategies.</p> <p><strong>Methods:</strong> Patients admitted with ACS to a tertiary center during 2023–2024 who were active smokers at presentation and alive at 12 months were screened. Those who consented completed a structured telephone questionnaire describing smoking behavior throughout the year following discharge. Clinical, behavioral, environmental, and outcome variables were analyzed to identify predictors of persistent smoking at 12 months.</p> <p><strong>Results:</strong> Among 861 ACS admissions, 254 were active smokers; 236 survived to 12 months, and 184 agreed to participate. At one year, 85 patients (46%) remained active smokers. Persistent smokers demonstrated significantly higher nicotine dependence scores (<em>Fagerstrom</em> Test for Nicotine Dependence) (p<0.001), increased pre-event cigarette consumption (p=0.002), and markedly greater exposure to household smoking (72% vs 33%; p<0.001). Early relapse was strongly associated with long-term persistence, with 57% smoking within 7 days of discharge compared with only 5% among those who quit (p<0.001). Cardiac outcomes showed persistent that smokers required more unplanned cardiac evaluations or rehospitalizations (20% vs 12%; p=0.048) and underwent repeat coronary assessment more often (15% vs 8%; p=0.041). However, no significant differences were observed in 12-month mortality (p=0.72) or recovery of left ventricular function (p=0.31). Multivariable analysis confirmed that smoking within 7 days post-discharge (odds ratio 14.37; 95% CI 3.46–59.68; p<0.001) and household smoking exposure (odds ratio 11.02; 95% CI 2.64–45.94; p=0.001) were the only independent predictors of persistent smoking.</p> <p><strong>Conclusion:</strong> Nearly half of smokers hospitalized with ACS during 2023–2024 remained active smokers at one year. Early relapse and household exposure were the strongest determinants of persistent smoking and were also associated with an increase in subsequent cardiac evaluations. These findings highlight the importance of immediate, structured cessation support—initiated during hospitalization and reinforced soon after discharge, particularly for patients exposed to smoking environments.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site