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    • Archive 2005 - 2010
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        2011 Archive Poster
        Abstract
        Comparison of the influence of invasive and non-invasive investigations for coronary artery disease on smoking cessation

        Author(s)

        Robert G. Xuereb, Philip Dingli, Richard Pullicino, Rachelle Asciak, Ahmad Alkharaza, David Bilocca, Elton Plaha, Anne Marie Bonello, Anne Marie Scerri

        Presenter(s)

        Dr Philip Dingli  Trainee in Acute Medicine, Mater Dei Hospital, Malta

        Dr Richard Pullicino  Foundation Year 2 Trainee, Mater Dei Hospital, Malta

        Abstract

        Aim:
        To study the effect of invasive coronary angiography (ICA) as opposed to non-invasive investigations (NII) for coronary artery disease (CAD) on smoking cessation.


        Methods:
        All smokers who underwent ICA and NII by exercise stress test or methoxyisobutylisonitrile scan between November 2010 and February 2011 were recruited. Subjects were called by telephone 1-4 months following the investigation and asked regarding tobacco use. Success was verified by carbon monoxide monitoring in 60% of quitters. Results were analysed using statistical package for social sciences v.17.0.


        Results:
        46.5% who underwent NII (no=111) and 34% who underwent ICA (no=64) were contacted (NII mean age 53.5 years, 62% male; ICA mean age 55.9 years, 75% male). More ICA patients recall being told to stop smoking 98.4% vs. 84% (p=0.001), more received written advice 37.5% vs. 15.9 % (p=0.001), and more were advised to attend smoking cessation classes 34.4% vs. 20.6% (p=0.046). There was no difference in prescription of pharmacotherapy 29.7% vs. 24.3% (p=0.436). More ICA patients tried to quit 82.8% vs. 60.7% (p=0.03) with 41% vs. 8% succeeding respectively (p<0.05).

        Conclusion
        ICA patients are more likely to quit smoking than NII patients. This could be partially explained by more aggressive attempts at smoking cessation counselling.

        Presenter biography

        Dr. Philip Dingli is a trainee in acute medicine with a special interest in preventive cardiology. He has been carrying out tobacco cessation classes with the health promotion department for the past 6 years.

        Source of funding: None

        Declaration of interest: None

         
        Abstract
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