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Acute Coronary Syndrome as a Teachable Moment for Smoking Cessation

Published online by Cambridge University Press:  16 December 2013

Geoffrey H. Tofler*
Affiliation:
Department of Cardiology, Royal North ShoreHospital, University of Sydney, Australia
Robin May
Affiliation:
Drug & Alcohol Services, Royal North Shore Hospital, University of Sydney, Australia
Roger Bartrop
Affiliation:
Department of Psychiatry, Royal North Shore Hospital, University of Sydney, Australia
Ann Kirkness
Affiliation:
Cardiac Rehabilition, Royal North Shore Hospital, University of Sydney, Australia
Helen Glinatsis
Affiliation:
Cardiac Rehabilition, Royal North Shore Hospital, University of Sydney, Australia
Simon de Burgh
Affiliation:
Drug & Alcohol Services, Royal North Shore Hospital, University of Sydney, Australia
*
Address for correspondence: Geoffrey H. Tofler, Royal North Shore Hospital, St Leonards, NSW 2065. E-mail: Geoffrey.Tofler@health.nsw.gov.au

Abstract

Introduction: Although the teachable moment has been recognised as an important contributor to behaviour change, its role in smoking cessation merits further investigation.

Aim: We prospectively evaluated 116 patients hospitalised with a suspected acute coronary syndrome in two tertiary referral hospitals. The patients comprised 84 men and 32 women, aged 54.2 ± 8.5 years, and the final diagnosis was myocardial infarction in 90 and angina in 26.

Results/Findings: At one month, the self-reported quit rate was 65%, maintained to 61% at 12 months. The quit rate was greater at one and 12 months for those diagnosed with myocardial infarction (70% and 67%) compared with those who had angina (46% and 40%), p<0.05. The strongest motivators for quitting were the heart attack and the consequences of the diagnosis. Of those who quit at 1 month, 77% did so without additional aids.

Conclusions: Hospitalisation with an acute coronary syndrome is associated with a high quit rate, and the diagnosis of heart attack with its potential consequences represents a strong teachable moment to stop smoking. The findings support further investigation of the teachable moment to aid in smoking cessation.

Type
Articles
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2013 

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