Abstract
A Middle aged man suffered acute myocardial infarction while at work and angiography confirmed triple vessel disease requiring stenting followed by lifelong medication. Important to note that upon follow up his lifestyle had not significantly changed, and he continued to smoke cigarettes. Soon after he developed severe low back pain which made him bed bound for a few weeks and further medications were added however all this could not deter him from smoking. This paper aims to discuss why some patients continue to smoke after such major life events. Keywords: smoking, heart attack
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