Smokers needed angioplasty and a stent a decade before non-smokers

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Smokers needed their clogged arteries repaired nearly a decade earlier than non-smokers, and obese patients had these procedures four years earlier than non-obese patients, according to a new study across Canada. the state.

The research included patients with no history of heart attack who were treated at hospitals in Michigan participating in BMC2, the Blue Cross Blue Shield of Michigan Cardiovascular Consortium. The patients had undergone angioplasty and / or a stent to widen or unblock their coronary arteries and restore blood flow. Almost all of them had at least one traditional risk factor, including smoking, obesity, high blood pressure, high cholesterol, and diabetes. Most had three or more.

In addition, women tend to have their first surgery at an older age than men. Over the past decade, among patients undergoing their first angioplasty or stent surgery, obesity and diabetes rates have increased, while smoking and high cholesterol have declined.

“Smoking is a completely preventable risk factor,” said senior author Devraj Sukul, MD, M.Sc., interventional cardiologist and clinical lecturer at the Frankel Cardiovascular Center at the University of Michigan. “If we put extra effort into preventing smoking and obesity, we could significantly delay the onset of heart disease and the need for angioplasty and stenting.”

Smoking cessation is a growing goal of the Michigan Collaborative Quality Initiatives, of which BMC2 is a member.

“In Michigan, we will be working to help every smoker quit smoking around heart care because it is an unparalleled learning time for patients,” said Michael Englesbe, MD, surgeon and professor at Michigan Medicine, who is the medical director of the Quality Collaborative Initiatives portfolio.

Sukul is also associate director of BMC2’s work on percutaneous coronary intervention.

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