Cigarette smoking status and outcome among patients with acute coronary syndromes without persistent ST-segment elevation: Effect of inhibition of platelet glycoprotein IIb/IIIa with eptifibatide

David Hasdai, David R. Holmes, Douglas A. Criger, Eric J. Topol, Robert M. Califf, Robert G. Wilcox, Ernesto Paolasso, Maarten Simoons, Jaap Deckers, Robert A. Harrington

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Background: Studies have shown that cigarette smokers constitute a substantial proportion of patients with acute coronary syndromes (ACS) and have platelet-rich coronary thrombi. We characterized the influence of smoking status on outcome of patients with ACS without persistent ST-segment elevation and tested the hypothesis that selective inhibition of the platelet glycoprotein IIb/IIIa receptor with eptifibatide would improve outcomes among cigarette smokers. Methods: The study population included patients enrolled in the PURSUIT trial (Platelet Glycoprotein IIb/IIIa in Unstable Angina: Receptor Suppression Using Integrilin Therapy) with known smoking status presenting with ischemic chest pain ≤24 hours and having either ischemic electrocardiographic changes without persistent ST-segment elevation or elevated creatine kinase MB levels. Patients were randomly assigned to receive a bolus and infusion of either eptifibatide or placebo in addition to standard therapy. The primary end point was a composite of death or nonfatal myocardial infarction within 30 days. Results: Of the 9406 patients with known smoking status, 2677 were current smokers, 3086 were former smokers, and 3643 were nonsmokers. Cigarette smokers had better 30-day outcomes (12.3%, 16.8%, and 15.4% for smokers, former smokers, and nonsmokers, respectively; P = .001). However, after adjusting for differences in baseline clinical variables, smoking status was not a predictor of 30-day outcome (P = .45). There was a reduction in the composite end point overall with eptifibatide compared with placebo (14.3% vs 15.7%, P = .054) but no interaction between smoking status and treatment strategy (P = .68). Conclusions: Among patients with ACS without persistent ST-segment elevation, cigarette smokers had better short-term outcomes because of their more favorable clinical profile. Although prior studies have suggested that smokers more commonly have platelet-rich thrombi than nonsmokers, eptifibatide did not result in more improvement in their outcome compared with former smokers or nonsmokers.

Original languageEnglish (US)
Pages (from-to)454-460
Number of pages7
JournalAmerican heart journal
Volume139
Issue number3
DOIs
StatePublished - Jan 1 2000

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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