IMPACT OF SMOKELESS TOBACCO USE ON DISTRIBUTION OF VESSEL INVOLVEMENT IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

Authors

  • Ghulam Shabbir Shar
  • Tahir Saghir National Institute of Cardiovascular Diseases
  • Abdul Hakeem National Institute of Cardiovascular Diseases
  • Haroon Ishaq National Institute of Cardiovascular Diseases
  • Mukesh Kumar National Institute of Cardiovascular Diseases
  • Sanam Khowaja National Institute of Cardiovascular Diseases
  • Danish Qayyum National Institute of Cardiovascular Diseases

DOI:

https://doi.org/10.47144/phj.v55i1.2180

Abstract

Objectives: Despite widespread use of smokeless tobacco (ST) in Pakistan, a very limited empirical evidence have been reported regarding its impact on the coronary anatomy and obstructions. Therefore, this study was conducted to compare the coronary angiographic profile of smokeless tobacco (ST) users and smokers with non-tobacco users presented with acute myocardial infarction (AMI).

Methodology: Consecutive patients with AMI were stratified in to four groups as tobacco non-users (G1), solo ST users (G2), both smoking and ST users (G3), and solo smokers (G4). Coronary angiographic findings regarding number of diseases vessels and infarct related artery were recorded.

Results: Out of 326 patients, ST users were 28.2%(92), 6.4%(21) in conjunction with smoking and reaming 21.8%(71) without smoking. Females were 19.7%(14/71) of G2, 4.8%(1/21) of G3, 0% in G4. Young patients (≤ 40 years) were 3.4%(5/149) of G1, 9.9%(7/71) of G2, 14.1%(12/85) of G4, and 23.8%(5/21) of G3 cumulatively making 82.8%(24/29) of the young patients. Single vessel disease (SVD) and left anterior descending artery (LAD) were significantly higher among ST user as compared to non-users with distribution of 46.7% vs. 34.2% and 70.7% vs. 56.4% respectively.

Conclusion: The distribution and localization of involved vessels among ST users with AMI are same as that of smokers with SCD and LAD as infarct artery as the common findings. Tendency of ST use is also high among female patients and Tobacco use in either form, smoking or smokeless, is alarmingly high (>80%) among young (≤40 years) patients with AMI.

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Published

2022-03-25

How to Cite

1.
Shar GS, Saghir T, Hakeem A, Ishaq H, Kumar M, Khowaja S, Qayyum D. IMPACT OF SMOKELESS TOBACCO USE ON DISTRIBUTION OF VESSEL INVOLVEMENT IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION. Pak Heart J [Internet]. 2022Mar.25 [cited 2024Nov.24];55(1):47-52. Available from: https://pakheartjournal1.pcs.org.pk/index.php/pk/article/view/2180

Issue

Vol. 55 No. 1 (2022): Pakistan Heart Journal

Section

Original Article

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