Letters

Nicotine patches may not be safe

BMJ 1995; 310 doi: http://dx.doi.org/10.1136/bmj.310.6980.663c (Published 11 March 1995) Cite this as: BMJ 1995;310:663
  1. May R Arnaot
  1. Resident, accident and emergency medicine Ten Bosch Hospital, Willebroek, Belgium

    EDITOR,—In their first article on recent advances in cardiology John McMurray and Andrew Rankin imply that the use of transdermal nicotine patches is completely safe in patients with coronary heart disease.1 Serious, sometimes fatal cases of atrial fibrillation and myocardial infarction have, however, been reported after using such patches in patients with and without a history of heart disease, particularly when patients have smoked while using the patch.2 Two such cases were reported recently to the Dutch Bureau …

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