Association of Baseline Smoking Status with Long-Term Prognosis in Patients Who Underwent Percutaneous Coronary Intervention: Large Single-Center Data

Abstract EN

Objectives.

This study analyzed a large sample to explain the association of baseline smoking state with long-term prognosis of coronary artery disease (CAD) patients who underwent percutaneous coronary intervention (PCI).

Background.

Data is limited up to now regarding whether smoker’s paradox exists in Chinese population.

Methods.

A total of 10724 consecutive cases were enrolled from January to December 2013.

2-year clinical outcomes were evaluated among current smokers and nonsmokers.

Major adverse coronary event (MACCE) included all-cause death, revascularization, myocardial infarction (MI), and stroke.

Results.

Current smokers and nonsmokers accounted for 57.1% and 42.9%, respectively.

Current smokers were presented with predominant male sex, lower age, and less comorbidities.

The rates of 2-year all-cause death were not significantly different among two groups.

But the rate of stroke and bleeding was significantly higher in nonsmokers than in current smokers (1.6% and 1.1%, P=0.031; 7.2% and 6.1%, P=0.019).

The rate of revascularization was significantly higher in current smokers than in nonsmokers (9.1% and 8.0%, P=0.037).

Multivariable Cox regression indicated that, compared with nonsmokers, current smokers were not independently associated with all endpoints (all P>0.05).

Conclusions.

2-year all-cause death, MACCE, MI, revascularization, stroke, ST, and bleeding risk were similar between current smokers and nonsmokers in CAD patients undergoing PCI.