Impact of smoking on severity of coronary artery disease in diabetic patients presented with acute coronary syndrome. | ||||
| Aswan University Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 29 July 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aumj.2025.389418.1243 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Walaa Saad Abdelmageed   1; Soud Mohamed Elsaughier2; Enas Fathy Aboelhamd3; Ayman Maher Asham2
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| 1aswan university hospital | ||||
| 2Aswan University hospital | ||||
| 3cardiology departmenet, faculty of medicine, Aswan University | ||||
| Abstract | ||||
| Background: Smoking in patients with ACS on admission is a significant independent predictor of hospital mortality and are even more important for patients who are not smokers. So in our study, we aimed to know the prevalence of smoking in Aswan government among diabetic patients presenting with ACS and its impact on severity of CAD in comparison with nonsmoker and diabetic patients. Patients and Methods: A prospective observational study was conducted in the Cardiology Department, Aswan University Hospital during the period from March 2023 to March 2024. This study involved 300 diabetic patients presented with new onset acute coronary syndrome. All the patients underwent coronary angiography during hospital course.. Results: Out of 300 patients, 77 (26%) were smokers and 223 (74%) were non-smokers. The vast majority of smokers were male (98.7%, n=76). Smokers had a significantly higher median SYNTAX score (38 [IQR: 6]) compared to non-smokers (0 [IQR: 7]; p<0.001). Conclusion: Smoking was associated with the more complex coronary lesions and higher syntax score than nonsmokers among diabetic patients presenting with ACS . | ||||
| Keywords | ||||
| Smoking; CAD; diabetes mellitus; syntax score | ||||
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