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Although the overall mortality in even the heaviest cigarette smokers (25 or more a day) was only about twice that in non-smokers, this ratio is more extreme in middle than in old age and the great number of deaths attributed to vascular causes (more than half of the total) means that the absolute excess mortality from vascular diseases in cigarette smokers was more than double that attributed to the cancers of the respiratory and upper digestive tracts that are so much more closely related to smoking

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Abbreviations ACS: Acute coronary syndromes ApoE / : Apolipoprotein-E knockout AS: Atherosclerosis CVD: Cardiovascular disease DNA: Deoxyribonucleic acid e-cigarette: Electronic cigarette ECV: e-cigarette vapor eNOS: Endothelial nitric oxide synthase EPA: Environmental Protection Agency EPCs: Elevated endothelial progenitor cells HDL: High-density lipoprotein HUVECs: Human umbilical vein endothelial cells IHD: Ischemic heart disease JAK/STAT: Janus kinase/signal transducer and activator of transcription LDL: Low-density lipoprotein MI: Myocardial infarction NHIS: National Health Interview Survey Nrf2: Nuclear Factor erythroid 2-Related Factor 2 OR: Odds ratio PI3K: Phosphatidylinositol-3-kinase p38 MAPK: p38 MAP kinase ROS: Reactive oxygen species SCD: Sudden cardiac death TLR9: Toll-like receptor 9 WHO: World Health Organization References Lubin JH, Couper D, Lutsey PL, Woodward M, Yatsuya H, Huxley RR (2016) Risk of cardiovascular disease from cumulative cigarette use and the impact of smoking intensity