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Smoking and Heart Disease and Stroke StoryMD How Do Tobacco Smoke Affect Cardiovascular Diseases and Blood Vessels Smoking doesn't just harm your lungs it directly damages your heart. It narrows arteries, raises blood pressure, increases heart rate, promotes dangerous blood clots, and reduces oxygen reaching the heart. Quit Cigarette Smoking, Cessation, and Risk of Heart Failure With Preserved and Reduced Ejection Fraction ScienceDirect
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