Impact of Smoking Status on Mortality in STEMI Patients Undergoing Mechanical Reperfusion for STEMI: Insights from the ISACS-STEMI COVID-19 Registry.
| Title: | Impact of Smoking Status on Mortality in STEMI Patients Undergoing Mechanical Reperfusion for STEMI: Insights from the ISACS-STEMI COVID-19 Registry. |
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| Authors: | De Luca G; Division of Clinical and Experimental Cardiology, AOU Sassari, University of Sassari, 07100 Sassari, Italy.; Algowhary M; Division of Cardiology, Assiut University Heart Hospital, Assiut University, Asyut 71511, Egypt.; Uguz B; Division of Cardiology, Bursa City Hospital, 16000 Bursa, Turkey.; Oliveira DC; Pronto de Socorro Cardiologico ' Prof. Luis Tavares', Centro PROCAPE, Federal University of Pernambuco, Recife 50000-000, Brazil.; Ganyukov V; Department of Heart and Vascular Surgery, State Research Institute for Complex Issues of Cardiovascular Diseases, 650000 Kemerovo, Russia.; Zimbakov Z; University Clinic for Cardiology, Medical Faculty, Ss' Cyril and Methodius University, 1000 Skopje, North Macedonia.; Cercek M; Centre for Intensive Internal Medicine, University Medical Centre, 1000 Ljubljana, Slovenia.; Jensen LO; Division of Cardiology, Odense Universitets Hospital, 5000 Odense, Denmark.; Loh PH; Department of Cardiology, National University Hospital, Singapore 117597, Singapore.; Calmac L; Clinic Emergency Hospital of Bucharest, 010001 Bucharest, Romania.; Ferrer GRI; Interventional Cardiology Unit, Heart Disease Institute, Hospital Universitari de Bellvitge, 08016 Barcelona, Spain.; Quadros A; Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre 90000-00, Brazil.; Milewski M; Division of Cardiology, Medical University of Silezia, 40-002 Katowice, Poland.; Scotto D'Uccio F; Division of Cardiology, Ospedale del Mare, 00156 Napoli, Italy.; von Birgelen C; Department of Cardiology, Medisch Spectrum Twente, Thoraxcentrum Twente, 7541 Enschede, The Netherlands.; Versaci F; Division of Cardiology, Ospedale Santa Maria Goretti Latina, 04100 Latina, Italy.; Ten Berg J; Division of Cardiology, St Antonius Hospital, 3434 Nieuwegein, The Netherlands.; Casella G; Division of Cardiology, Ospedale Maggiore Bologna, 40100 Bologna, Italy.; Wong Sung Lung A; Department of Cardiology, National Heart Center, Singapore 169609, Singapore.; Kala P; University Hospital Brno, Medical Faculty of Masaryk, University Brno, 60200 Brno, Czech Republic.; Díez Gil JL; H. Universitario y Politécnico La Fe, 46001 Valencia, Spain.; Carrillo X; Cardiology, Hospital Germans Triasi Pujol, 8918 Badalona, Spain.; Dirksen M; Division of Cardiology, Northwest Clinics, 1811 Alkmaar, The Netherlands.; Becerra-Munoz VM; Cardiology, Hospital Clínico Universitario Virgen de la Victoria, 29000 Malaga, Spain.; Lee MK; Department of Cardiology, Queen Elizabeth Hospital, University of Hong Kong, Hong Kong 999077, China.; Juzar DA; Department of Cardiology and Vascular Medicine, National Cardiovascular Center 'Harapan Kita', University of Indonesia, Jakarta 11420, Indonesia.; Joaquim RM; Instituto de Cardiologia de Santa Catarina Praia Comprida, Sao Jose 88100-000, Brazil.; Paladino R; Division of Cardiology, Clinica Villa dei Fiori, 80011 Acerra, Italy.; Milicic D; Department of Cardiology, University Hospital Centre, University of Zagreb, 10000 Zagreb, Croatia.; Davlouros P; Invasive Cardiology and Congenital Heart Disease, Patras University Hospital, 26221 Patras, Greece.; Bakraceski N; Center for Cardiovascular Diseases, 6000 Ohrid, North Macedonia.; Zilio F; Division of Cardiology, Ospedale Santa Chiara di Trento, 38014 Trento, Italy.; Donazzan L; Division of Cardiology, Ospedale 'S. Maurizio', 39100 Bolzano, Italy.; Kraaijeveld A; Division of Cardiology, UMC Utrecht, 3584 CX Utrecht, The Netherlands.; Galasso G; Division of Cardiology, Ospedale San Giovanni di Dio e Ruggi d'Aragona, 84070 Salerno, Italy.; Arpad L; Cardiology, Maastricht University Medical Center (UMC+), 6229 Maastricht, The Netherlands.; Lucia M; Division of Cardiology, Azienda Ospedaliera 'Ospedali Riuniti Marche Nord', 61121 Pesaro, Italy.; Vincenzo G; Division of Cardiology, AUSL-IRCCS Reggio Emilia, 42121 Reggio Emilia, Italy.; Menichelli M; Division of Cardiology, Ospedale 'F. Spaziani', 03100 Frosinone, Italy.; Scoccia A; Division of Cardiology, Ospedale 'Sant'Anna', 44121 Ferrara, Italy.; Yamac AH; Department of Cardiology, Bezmialem Vakif University Hospital, 34093 Istanbul, Turkey.; Ugur Mert K; Division of Cardiology, Faculty of Medicine, Eskisehir Osmangazi University, 02640 Eskisehir, Turkey.; Flores Rios X; Cardiology, Complexo Hospetaliero Universitario La Coruna, 15001 La Coruna, Spain.; Kovarnik T; Cardiology University Hospital Prague, 12808 Prague, Czech Republic.; Kidawa M; Central Hospital of Medical University of Lodz, 90-008 Lodz, Poland.; Moreu J; Division of Cardiology, Complejo Hospitalario de Toledo, 45001 Toledo, Spain.; Vincent F; Division of Cardiology, Center Hospitalier Universitaire de Lille, 59000 Lille, France.; Fabris E; Azienda Ospedaliero-Universitaria Ospedali Riuniti, 34142 Trieste, Italy.; Martínez-Luengas IL; Division of Cardiology, Hospital Cabueñes, 33201 Gijon, Spain.; Boccalatte M; Division of Cardiology, Ospedale Santa Maria delle Grazie, 80078 Pozzuoli, Italy.; Bosa Ojeda F; Division of Cardiology, Hospital Universitario de Canarias, 38001 Santa Cruz de Tenerife, Spain.; Arellano-Serrano C; Division of Cardiology, Hospital Puerta de Hierro Majadahonda, 28222 Madrid, Spain.; Caiazzo G; Division of Cardiology, Ospedale 'G Moscati', 81031 Aversa, Italy.; Cirrincione G; Division of Cardiology, Ospedale Civico Arnas, 90100 Palermo, Italy.; Kao HL; Cardiology Division, Department of Internal Medicine, National Taiwan University Hospital, Tapei 8865600, Taiwan.; Sanchis Forés J; Division of Cardiology, Hospital Clinico Universitario de Valencia, 46010 Valencia, Spain.; Vignali L; Interventional Cardiology Unit, Azienda Ospedaliera Sanitaria, 43121 Parma, Italy.; Pereira H; Cardiology Department, Hospital Garcia de Orta (Pragal), 2805-267 Almada, Portugal.; Manzo S; Division of Cardiology, CHU Lariboisière, AP-HP, INSERM UMRS 942, Paris VII University, 75010 Paris, France.; Ordoñez S; Instituto Cardiovascular de Buenos Aires, Buenos Aires 1428, Argentina.; Özkan AA; Cardiology Institute, Instanbul University, 34000 Instanbul, Turkey.; Scheller B; Division of Cardiology, Clinical and Experimental Interventional Cardiology, University of Saarland, 66421 Homburg, Germany.; Lehtola H; Division of Cardiology, Oulu University Hospital, 90220 Oulu, Finland.; Teles R; Division of Cardiology, Hospital de Santa Cruz, CHLO-Nova Medical School, Centro de Estudos de Doenças Crónicas (CEDOC), 1000 Lisbon, Portugal.; Mantis C; Division of Cardiology, Kontantopoulion Hospital, 104 31 Athens, Greece.; Antti Y; Division of Cardiology, Heart Centre Turku, 20521 Turku, Finland.; Silveira JAB; Division of Cardiology, Hospital de Santo António, 4099-001 Porto, Portugal.; Zoni R; Tyumen Cardiology Research Center, 625026 Tyumen, Russia.; Bessonov I; Department of Teaching and Research, Instituto de Cardiología de Corrientes 'Juana F. Cabral', Corrientes W3400CDS, Argentina.; Savonitto S; Division of Cardiology, Ospedale 'A. Manzoni', 23900 Lecco, Italy.; Kochiadakis G; Cardiology, Iraklion University Hospital, 70001 Crete, Greece.; Alexopulos D; Division of Cardiology, Attikon University Hospital, 10431 Athens, Greece.; Uribe CE; Division of Cardiology, Universidad UPB- CES, Medellin 050001, Colombia.; Kanakakis J; Division of Cardiology, Alexandra Hospital, 10431 Athens, Greece.; Faurie B; Division of Cardiology, Groupe Hospitalier Mutualiste de Grenoble, 38000 Grenoble, France.; Gabrielli G; Interventional Cardiology Unit, Azienda Ospedaliero Universitaria 'Ospedali Riuniti', 60100 Ancona, Italy.; Barrios AG; Division of Cardiology, Hospital Puerta del Mar, 11001 Cadiz, Spain.; Bachini JP; Instituto de Cardiologia Integral, Montevideo 11700, Uruguay.; Rocha A; Department of Cardiology and Cardiovascular Interventions, Instituto Nacional de Cirugía Cardíaca, Montevideo 11700, Uruguay.; Tam FC; Department of Cardiology, Queen Mary Hospital, University of Hong Kong, Hong Kong 999077, China.; Rodriguez A; Division of Cardiology, Otamendi Hospital, Buenos Aires 1001, Argentina.; Lukito AA; Cardiovascular Department, Siloam Lippo Village Hospital, Heart Center, Pelita Harapan University, Tangerang 15810, Indonesia.; Saint-Joy V; Cardiology, Center Hospitalier d'Antibes Juan Les Pins, 06600 Antibes, France.; Pessah G; Division of Cardiology, Hospiatl Cordoba, Cordoba 5000, Argentina.; Tuccillo A; Division of Cardiology, Ospedale del Mare, 00156 Napoli, Italy.; Cortese G; Department of Statistical Sciences, University of Padova, 35121 Padova, Italy.; Parodi G; Cardiology, Azienda Ospedaliera, 16033 Lavagna, Italy.; Bouraghda MA; Division of Cardiology, Blida University Hospital, Blida 09000, Algeria.; Kedhi E; Division of Cardiology, Hopital Erasmus, Universitè Libre de Bruxelles, 1070 Bruxelles, Belgium.; Lamelas P; Instituto Cardiovascular de Buenos Aires, Buenos Aires 1428, Argentina.; Suryapranata H; Division of Cardiology, Radboud University Medical Center, 6525 Nijmegen, The Netherlands.; Nardin M; Department of Internal Medicine, Ospedale Riuniti, 25121 Brescia, Italy.; Verdoia M; Division of Cardiology, Ospedale Degli Infermi, ASL Biella, 13900 Biella, Italy. |
| Source: | Journal of clinical medicine [J Clin Med] 2022 Nov 13; Vol. 11 (22). Date of Electronic Publication: 2022 Nov 13. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101606588 Publication Model: Electronic Cited Medium: Print ISSN: 2077-0383 (Print) Linking ISSN: 20770383 NLM ISO Abbreviation: J Clin Med Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Basel, Switzerland : MDPI AG, [2012]- |
| Abstract: | The so-called “smoking paradox”, conditioning lower mortality in smokers among STEMI patients, has seldom been addressed in the settings of modern primary PCI protocols. The ISACS−STEMI COVID-19 is a large-scale retrospective multicenter registry addressing in-hospital mortality, reperfusion, and 30-day mortality among primary PCI patients in the era of the COVID-19 pandemic. Among the 16,083 STEMI patients, 6819 (42.3%) patients were active smokers, 2099 (13.1%) previous smokers, and 7165 (44.6%) non-smokers. Despite the impaired preprocedural recanalization (p < 0.001), active smokers had a significantly better postprocedural TIMI flow compared with non-smokers (p < 0.001); this was confirmed after adjustment for all baseline and procedural confounders, and the propensity score. Active smokers had a significantly lower in-hospital (p < 0.001) and 30-day (p < 0.001) mortality compared with non-smokers and previous smokers; this was confirmed after adjustment for all baseline and procedural confounders, and the propensity score. In conclusion, in our population, active smoking was significantly associated with improved epicardial recanalization and lower in-hospital and 30-day mortality compared with previous and non-smoking history. |
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| Contributed Indexing: | Keywords: COVID-19; myocardial infarction; percutaneous coronary intervention; smoking paradox |
| Entry Date(s): | Date Created: 20221126 Latest Revision: 20230308 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC9698021 |
| DOI: | 10.3390/jcm11226722 |
| PMID: | 36431198 |
| Database: | MEDLINE |
Journal Article