Effects of Smoking on Very-Long Term Mortality after First ST Elevation Myocardial Infarction

The smoking paradox has been a matter of debate for acute myocardial infarction patients for more than two decades. Although there is huge evidence claiming that is no real paradox, publications supporting better outcomes in post-MI smokers are still being released. To explore the effect of smoking on very long-term mortality after ST Elevation myocardial infarction (STEMI). This study included STEMI patients who were diagnosed between the years of 2004-2006 at three tertiary centers. Patients were categorized according to tobacco exposure (Group 1: non-smokers; Group 2: 40 package*years users). A Cox regression model was used to estimate the relative risks for very long-term mortality. P value