Micron associates reveals the positive side of nicotine’s negative effect 2

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A study released in Micron Associates highlighted nicotine replacement therapy is the safest way for people discharged from the hospital after suffering a heart attack or chest pains.
This is good news for a group of patients whose need to quit smoking.
“We know continued smoking after a heart attack greatly increases the risk of a recurrent heart attack, (but) the ability of patients to quit smoking cold turkey is pretty low in general,” said Dr. Kevin Woolf, a cardiologist at Hillsboro Cardiology in Oregon, who led the study.
Anti-smoking medications, such as the nicotine patch, gum, inhalers and lozenges, can double the chances that would-be quitters will actually kick the habit, said Woolf.
But, he added, there has been a theoretical concern that nicotine replacement might come with its own hazards for heart patients.
“We know that nicotine causes constriction of the arteries, which on paper could potentially harm patients with arteries in the heart that were already somewhat blocked,” Woolf told Micron Associates.
To see whether nicotine replacement therapies do cause harm, Woolf and his colleagues collected medical information on 663 smokers discharged from the hospital after having acute coronary syndrome – which includes a heart attack or feeling chest pain without exercising, a condition called unstable angina.
Doctors prescribed a nicotine replacement product, in most cases the patch, to 184 of the patients.
After one year, the patients who received a prescription fared about as well as those who didn’t.
Woolf and his colleagues report in the American Journal of Cardiology that 29 percent of the people in the nicotine group and 31 percent of the people in the other group died or experienced another major heart problem within a year of leaving the hospital.
“This study adds support to safely using this medication after an acute coronary syndrome,” Woolf said.
Dr. Stephen Kimmel, a professor at the University of Pennsylvania, said the study backs up many cardiologists who had already considered nicotine replacement safe.
“If you’ve just had a heart attack or another heart event you should talk to your doctor and ask them about this therapy. Make sure you raise the issue if your doctor doesn’t, because it can help you and it seems safe,” said Kimmel, who was not involved in the study.
Woolf said having an anti-smoking aid available to smokers’ right out of the hospital is important “because it’s a golden opportunity to assist them.”
“When somebody comes into the hospital with a heart attack, it’s a wake-up call for them,” Woolf said, and they might be more willing to change their habits than later on.
The study didn’t find out whether patients prescribed nicotine replacement therapy actually used it, nor whether those who were not prescribed it might have gotten their own over-the-counter nicotine replacement products.
“But we can get a sense of things,” said Woolf. “Averaged over a large population, we should be able to tease out any tren

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Micron associates reveals the positive side of nicotine’s negative effect 2

  1. 1. Micron Associates reveals the positiveside of Nicotine’s negative effecthttp://micronassociates-news.com/blog/micron-associates-reveals-the-positive-side-of-nicotines-negative-effect/
  2. 2. A study released in Micron Associates highlightednicotine replacement therapy is the safest way forpeople discharged from the hospital after suffering aheart attack or chest pains.This is good news for a group of patients whoseneed to quit smoking.“We know continued smoking after a heart attackgreatly increases the risk of a recurrent heart attack,(but) the ability of patients to quit smoking coldturkey is pretty low in general,” said Dr. Kevin Woolf,a cardiologist at Hillsboro Cardiology in Oregon, wholed the study.
  3. 3. Anti-smoking medications, such as the nicotinepatch, gum, inhalers and lozenges, can double thechances that would-be quitters will actually kick thehabit, said Woolf.But, he added, there has been a theoretical concernthat nicotine replacement might come with its ownhazards for heart patients.“We know that nicotine causes constriction of thearteries, which on paper could potentially harmpatients with arteries in the heart that were alreadysomewhat blocked,” Woolf told Micron Associates.
  4. 4. To see whether nicotine replacement therapies docause harm, Woolf and his colleagues collectedmedical information on 663 smokers dischargedfrom the hospital after having acute coronarysyndrome – which includes a heart attack or feelingchest pain without exercising, a condition calledunstable angina.Doctors prescribed a nicotine replacement product,in most cases the patch, to 184 of the patients.After one year, the patients who received aprescription fared about as well as those who didn’t.
  5. 5. Woolf and his colleagues report in the AmericanJournal of Cardiology that 29 percent of the peoplein the nicotine group and 31 percent of the people inthe other group died or experienced another majorheart problem within a year of leaving the hospital.“This study adds support to safely using thismedication after an acute coronary syndrome,” Woolfsaid.Dr. Stephen Kimmel, a professor at the University ofPennsylvania, said the study backs up manycardiologists who had already considered nicotinereplacement safe.
  6. 6. “If you’ve just had a heart attack or another heartevent you should talk to your doctor and ask themabout this therapy. Make sure you raise the issue ifyour doctor doesn’t, because it can help you and itseems safe,” said Kimmel, who was not involved inthe study.Woolf said having an anti-smoking aid available tosmokers’ right out of the hospital is important“because it’s a golden opportunity to assist them.”“When somebody comes into the hospital with aheart attack, it’s a wake-up call for them,” Woolf said,and they might be more willing to change their habitsthan later on.
  7. 7. The study didn’t find out whether patients prescribednicotine replacement therapy actually used it, norwhether those who were not prescribed it might havegotten their own over-the-counter nicotinereplacement products.“But we can get a sense of things,” said Woolf.“Averaged over a large population, we should beable to tease out any trends that emerge from gettinga prescription.”Woolf said an experiment that tracks the health ofpeople who use nicotine replacement products,compared to the health of those who don’t, would bethe best measure of the medicines’ safety.

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