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How Do Tobacco Smoke Affect Cardiovascular Diseases and Blood Vessels Smoking is the leading cause of heart disease. Every puff raises your blood pressure, damages your blood vessels, and increases the risk of a heart attack. Quit smoking today What smoking hides, your arteries remember. Smoking doesn't just damage your lungs, it silently narrows your arteries, restricting blood flow and forcing your heart to work harder. Over time, this buildup can Effects of ecigarettes and vaping devices on cardiac and pulmonary physiology Tsai 2020 The Journal of Physiology Wiley Online Library

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