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Nancy A. Rigotti, MD; Kim A. Eagle, MD
Massachusetts General Hospital Boston

JAMA. 1986;255(8):1018.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Since 1984, nicotine chewing gum has been widely prescribed by physicians to aid cigarette smokers attempting to give up their habit. Many smokers who could benefit from smoking cessation have cardiovascular disease. Whether they can safely use the gum has not been established, because there are no published reports of gum use in cardiac patients. We report here a man with known cardiovascular disease who developed atrial fibrillation while chewing nicotine gum.

Report of a Case.—

A 52-year-old male smoker with known coronary artery disease sought help in order to stop smoking. He had smoked three packs of cigarettes per day for 35 years and made several unsuccessful attempts to quit. Following coronary artery bypass surgery in 1981 he did not smoke for three years, but relapsed during a time of stress. When seen, he was smoking one pack of low-tar and nicotine cigarettes daily, had rare . . . [Full Text PDF of this Article]

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