Does the diagnosis of coronary calcification with electron beam computed tomography motivate behavioral change in smokers?
BACKGROUND
Electron beam computed tomography is promoted as a test that may enhance patient motivation to alter cardiovascular risk behaviors.


METHODS
We surveyed a consecutive sample of asymptomatic, active smokers (N = 144) who underwent screening electron beam computed tomography about their current motivation to alter their smoking behavior in the context of their tomography results.


RESULTS
Patients with coronary artery calcification (42% of the sample) were more likely to perceive increased cardiovascular risk (42 vs. 13%; p < 0.01). Overall, most patients (59%) rated themselves as more motivated to quit smoking after electron beam computed tomography, but there was no relationship between motivational levels or smoking behavioral change and the presence of coronary artery calcification.


CONCLUSIONS
In smokers predominantly self-referred for electron beam computed tomography, the presence of coronary artery calcification does not appear to influence motivation for smoking cessation or smoking behavior.
O'Malley
Patrick G
PG
Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307, USA.
Rupard
Erik J
EJ
Jones
David L
DL
Feuerstein
Irwin
I
Brazaitis
Michael
M
Taylor
Allen J
AJ
D002114:Calcinosis / Q000000981:diagnostic imaging* / Q000523:psychology; D003327:Coronary Disease / Q000000981:diagnostic imaging* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D012907:Smoking / Q000523:psychology*; D016540:Smoking Cessation; D014057:Tomography, X-Ray Computed