The Interaction Between The Habit Of Smoking With The Concomitant Chronic Illnesses In Inducing Intra-Postoperatively Cardiac Arrhythmias

Abstract

Studies have shown that smoking affects the response to anesthesia, and It is important to have a full understanding of the effects of smoking during surgery and anesthesia, and the effects of quitting smoking before surgery.

This study examines the connection between the prevalence of arrhythmia in patients receiving general anesthesia, smoking, and chronic illnesses. A cohort of 100 patients from three hospitals was analyzed to identify trends and correlations. The findings reveal that 80% of the patients were smokers, with a notable 37.5% suffering from chronic diseases. Smoking was strongly associated with an increased risk of arrhythmia, as 57.5% of smokers developed arrhythmia compared to only 15% of non-smokers.

Additionally, the presence of chronic diseases significantly compounded the risk, with 83.3% of smokers with chronic conditions developing arrhythmia. Long-term smoking (20+ years) further heightened the likelihood of arrhythmia, particularly in individuals aged 30-39. However, smoking cessation for more than a week prior to surgery dramatically reduced the incidence of arrhythmia (5.7%). Tachycardia was identified as the most prevalent type of arrhythmia, affecting 70% of cases.

These results underscore the Importance of smoking cessation programs and early intervention strategies to mitigate perioperative cardiac risks. Addressing smoking as a modifiable risk factor in preoperative care may improve surgical outcomes and reduce long-term cardiovascular complications.