Author + information
- David Shander, MDa
The article by van Domburg et al. (1)in the September issue of the Journalpresented detailed but not unexpected findings with regard to the hazards of cigarette smoking. However, I wonder whether the authors are aware that in Figure 2 of their paper, there is a graph which implies that the survival rate of cigarette smokers who quit after their bypass operation is significantly better than those who continue to smoke, but also significantly better than those who have never smoked. One would have to conclude from this data that the best chances of survival are among those who smoke up until the time of their surgery and then quit, rather than never to smoke at all. This would truly be a smoker’s paradox if in fact it is correct!
I would appreciate some explanation from the authors.
- American College of Cardiology