David O. Warner, M.D.
American Society of Anesthesiologists
February 19, 2010
You've been having chest pain, you go to see your doctor, and are told that although you have blocked arteries in your heart, they can be fixed with heart surgery. Your doctor also tells you that your smoking has contributed to the problem and that you really need to quit - starting now. But smoking helps you to relax and when you have tried to quit before, symptoms of nicotine withdrawal, such as cravings for cigarettes, were a real problem. What should you do?
The good news is that new research suggests that having surgery is an excellent time to quit smoking. Studies performed at Mayo Clinic show that smokers do not report additional stress when they stop smoking in the hospital and, in particular, do not experience increased cravings for cigarettes. In fact, up to half of smokers undergoing heart surgery successfully quit after the operation.
The reasons why are not clear but could relate to the fact that patients recovering in the hospital are out of their routine environment so the normal "cues" for smoking, such as having dinner at home, are not present. It could also be due to the fact that pain medications given after surgery may reduce cravings for cigarettes.
There are many reasons to quit, especially before having surgery, as smoking affects the heart by:
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