Published online before print September 25, 2006, doi: 10.1161/CIRCULATIONAHA.106.615245
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
(Circulation. 2006;114:1490-1496.)
© 2006 American Heart Association, Inc.
Health Services and Outcomes Research |
Reduction in the Incidence of Acute Myocardial Infarction Associated With a Citywide Smoking Ordinance
From the Department of Medicine, University of Colorado Health Sciences Center (C.B.), Parkview Medical Center (R.N.A.), Pueblo City-County Health Department (C.N.-W.), St. Mary-Corwin Medical Center (Centura Health) (W.M.T.), Pueblo, Colo, and Colorado Prevention Center (R.O.E., B.B.B., M.J.K.), Denver, Colo.
Correspondence to Carl E. Bartecchi, MD, 3676 Parker Blvd, Suite 310, Pueblo, CO 81008. E-mail ckbartecchi{at}comcast.net
Received January 19, 2006; revision received June 27, 2006; accepted June 30, 2006.
Background— Secondhand smoke exposure increases the risk of acute myocardial infarction (AMI). One study (Helena, Mont) examined the issue and found a decrease in AMI associated with a smoke-free ordinance. We sought to determine the impact of a smoke-free ordinance on AMI admission rates in another geographically isolated community (Pueblo, Colo).
Methods and Results— We assessed AMI hospitalizations in Pueblo during a 3-year period, 1.5 years before and 1.5 years after implementation of a smoke-free ordinance. We compared the AMI hospitalization rates among individuals residing within city limits, the area where the ordinance applied, versus those outside city limits. We also compared AMI rates during this time period with another geographically isolated but proximal community, El Paso County, Colo, that did not have an ordinance. A total of 855 patients were hospitalized with a diagnosis of primary AMI in Pueblo between January 1, 2002, and December 31, 2004. A reduction in AMI hospitalizations was observed in the period after the ordinance among Pueblo city limit residents (relative risk [RR]=0.73, 95% confidence interval [CI] 0.63 to 0.85). No significant changes in AMI rates were observed among residents outside city limits (RR=0.85, 95% CI 0.63 to 1.16) or in El Paso County during the same period (RR=0.97, 95% CI 0.89 to 1.06). The reduction in AMI rate within Pueblo differed significantly from changes in the external control group (El Paso County) even after adjustment for seasonal trends (P<0.001).
Conclusions— A public ordinance reducing exposure to secondhand smoke was associated with a decrease in AMI hospitalizations in Pueblo, Colo, which supports previous data from a smaller study.
CLINICAL PERSPECTIVE
Find additional patient-related information at:
This article has been cited by other articles:
 |
|
 |
|
  J. M. Lightwood and S. A. Glantz Declines in Acute Myocardial Infarction After Smoke-Free Laws and Individual Risk Attributable to Secondhand Smoke Circulation, October 6, 2009; 120(14): 1373 - 1379. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Tonkin, A. Beauchamp, and C. Stevenson The Importance of Extinguishing Secondhand Smoke Circulation, October 6, 2009; 120(14): 1339 - 1341. [Full Text] [PDF]
|
|
|
|
 |
|
 D. G. Meyers, J. S. Neuberger, and J. He Cardiovascular effect of bans on smoking in public places: a systematic review and meta-analysis. J. Am. Coll. Cardiol., September 29, 2009; 54(14): 1249 - 1255. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Prabhakaran and A. Roy Commentary: Societal influences on cardiovascular disease: time to assess and act Int. J. Epidemiol., September 23, 2009; (2009) dyp295v1. [Full Text] [PDF]
|
|
|
|
 |
|
 J. P Pell and S. Haw The triumph of national smoke-free legislation Heart, September 1, 2009; 95(17): 1377 - 1379. [Full Text] [PDF]
|
|
|
|
 |
|
 I Tramacere, S Gallus, E Fernandez, P Zuccaro, P Colombo, and C La Vecchia Medium-term effects of Italian smoke-free legislation: findings from four annual population-based surveys J Epidemiol Community Health, July 1, 2009; 63(7): 559 - 562. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. C. Fiore and T. B. Baker Stealing a March in the 21st Century: Accelerating Progress in the 100-Year War Against Tobacco Addiction in the United States Am J Public Health, July 1, 2009; 99(7): 1170 - 1175. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Reduced Hospitalizations for Acute Myocardial Infarction After Implementation of a Smoke-Free Ordinance--City of Pueblo, Colorado, 2002-2006 JAMA, February 4, 2009; 301(5): 480 - 483. [Full Text] [PDF]
|
|
|
|
 |
|
 C. A. Jimenez-Ruiz, J. A. R. Miranda, R. D. Hurt, A. R. Pinedo, S. S. Reina, and F. C. Valero Study of the impact of laws regulating tobacco consumption on the prevalence of passive smoking in Spain Eur J Public Health, December 1, 2008; 18(6): 622 - 625. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. M. Ho, P. N. Peterson, and F. A. Masoudi Evaluating the Evidence: Is There a Rigid Hierarchy? Circulation, October 14, 2008; 118(16): 1675 - 1684. [Full Text] [PDF]
|
|
|
|
 |
|
 J. P. Pell, S. Haw, S. Cobbe, D. E. Newby, A. C.H. Pell, C. Fischbacher, A. McConnachie, S. Pringle, D. Murdoch, F. Dunn, et al. Smoke-free Legislation and Hospitalizations for Acute Coronary Syndrome N. Engl. J. Med., July 31, 2008; 359(5): 482 - 491. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. D. Brook Potential health risks of air pollution beyond triggering acute cardiopulmonary events. JAMA, May 14, 2008; 299(18): 2194 - 2196. [Full Text] [PDF]
|
|
|
|
|
|
C. Heiss, N. Amabile, A. C. Lee, W. M. Real, S. F. Schick, D. Lao, M. L. Wong, S. Jahn, F. S. Angeli, P. Minasi, et al. Brief Secondhand Smoke Exposure Depresses Endothelial Progenitor Cells Activity and Endothelial Function: Sustained Vascular Injury and Blunted Nitric Oxide Production J. Am. Coll. Cardiol., May 6, 2008; 51(18): 1760 - 1771. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S K Proescholdbell, K L Foley, J Johnson, and S H Malek Indoor air quality in prisons before and after implementation of a smoking ban law Tob. Control, April 1, 2008; 17(2): 123 - 127. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Cesaroni, F. Forastiere, N. Agabiti, P. Valente, P. Zuccaro, and C. A. Perucci Effect of the Italian Smoking Ban on Population Rates of Acute Coronary Events Circulation, March 4, 2008; 117(9): 1183 - 1188. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R Edwards, G Thomson, N Wilson, A Waa, C Bullen, D O'Dea, H Gifford, M Glover, M Laugesen, and A Woodward After the smoke has cleared: evaluation of the impact of a new national smoke-free law in New Zealand Tob. Control, February 1, 2008; 17(1): e2 - e2. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Barnoya, C. Mendoza-Montano, and A. Navas-Acien Secondhand Smoke Exposure in Public Places in Guatemala: Comparison with other Latin American Countries Cancer Epidemiol. Biomarkers Prev., December 1, 2007; 16(12): 2730 - 2735. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. K. Tong and S. A. Glantz Tobacco Industry Efforts Undermining Evidence Linking Secondhand Smoke With Cardiovascular Disease Circulation, October 16, 2007; 116(16): 1845 - 1854. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. J Haw and L. Gruer Changes in exposure of adult non-smokers to secondhand smoke after implementation of smoke-free legislation in Scotland: national cross sectional survey BMJ, September 15, 2007; 335(7619): 549 - 549. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Barone-Adesi, L. Vizzini, F. Merletti, and L. Richiardi Short-term effects of Italian smoking regulation on rates of hospital admission for acute myocardial infarction: reply Eur. Heart J., September 2, 2007; 28(18): 2296 - 2297. [Full Text] [PDF]
|
|
|
|
|
|
M. P Coleman Commentary: Is epidemiology really dead, anyway? * A look back at Kenneth Rothman's 'The rise and fall of epidemiology, 1950 2000 AD' Int. J. Epidemiol., August 1, 2007; 36(4): 719 - 723. [Full Text] [PDF]
|
|
|
|
|
|
R. L. Vogt Letter by Vogt Regarding Article, "Reduction in the Incidence of Acute Myocardial Infarction Associated With a Citywide Smoking Ordinance" Circulation, April 24, 2007; 115(16): e424 - e424. [Full Text] [PDF]
|
|
|
|
|
|
C. Bartecchi, M. J. Krantz, B. B. Bartelson, R. O. Estacio, R. N. Alsever, C. Nevin-Woods, and W. M. Thomas Response to Letter Regarding Article, "Reduction in the Incidence of Acute Myocardial Infarction Associated With a Citywide Smoking Ordinance" Circulation, April 24, 2007; 115(16): e425 - e425. [Full Text] [PDF]
|
|
|
|
 |
|
 G. Bruintjes and M. J. Krantz Acute vs Chronic Secondhand Smoke Exposure Arch Intern Med, April 9, 2007; 167(7): 731 - 731. [Full Text] [PDF]
|
|
|
|
|
|
S. Stranges, M. R. Bonner, F. Fucci, K. M. Cummings, J. L. Freudenheim, J. M. Dorn, P. Muti, G. A. Giovino, A. Hyland, and M. Trevisan Acute vs Chronic Secondhand Smoke Exposure--Reply Arch Intern Med, April 9, 2007; 167(7): 731 - 732. [Full Text] [PDF]
|
|
|
|
|
|
M. S. Lauer Primary Prevention of Atherosclerotic Cardiovascular Disease: The High Public Burden of Low Individual Risk JAMA, March 28, 2007; 297(12): 1376 - 1378. [Full Text] [PDF]
|
|
|
|
|
|
J. M. Samet Smoking Bans Prevent Heart Attacks Circulation, October 3, 2006; 114(14): 1450 - 1451. [Full Text] [PDF]
|
|