Which statement about nicotine use and patients with cardiovascular disease is accurate?

Nicotine replacement therapy (NRT) can indeed present risks for patients with cardiovascular disease, especially those with a history of acute coronary syndrome. When patients with underlying heart conditions use NRT, they may not have the same margin of safety as those without cardiovascular issues. Nicotine can cause increased heart rate, elevated blood pressure, and other hemodynamic changes that could potentially exacerbate pre-existing heart conditions or trigger acute cardiovascular events.

The impact of nicotine on the cardiovascular system is significant; therefore, close monitoring and a thorough assessment of each patient's individual risk factors are essential before initiating NRT in this population. This reinforces the importance of considering the potential risks associated with nicotine use in patients with cardiovascular disease, making the statement about the increased risk of acute coronary syndrome accurate.