Predictors of the Effectiveness of Acupuncture in Smoking Cessation in Coronary Patients: a Prospective Study of 25 Patients.

BACKGROUND:Smoking cessation should be a priority for smokers, especially coronary patients.AIM:To study the place and effectiveness of acupuncture in smoking cessation in coronary patients.METHODS:We conducted a prospective open-label study of 25 coronary smokers treated by acupuncture over a 10-month period, from June 2017 to March 2018. A 2-session protocol acupuncture weekly for three to five weeks, with a positive response. In order to evaluate the effectiveness of acupuncture, a questionnaire was completed by the doctor during the treatment, at three and six months after the end of the sessions. Positive response was defined by total cessation of smoking.RESULTS:The average age of our patients was 55.5 years (33 to 77 years). The sex ratio of our population was 1.5 with a male predominance. All our patients had a coronary history. The average cigarette consumption was 22.7 pack-years on average. The results of our study showed that acupuncture allows the withdrawal of 5 smokers (20%) from the first session. After the fifth session, 60% of our patients stopped smoking. At the end of the treatment, 17 smokers (70%) stopped smoking completely. At 3 and 6 months of treatment, we observed a stabilization of smoking cessation and decrease rates.CONCLUSION:Smoking cessation is difficult to obtain whatever the therapeutic method used, which encourages us to strengthen preventive measures.