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Smoking affects the heart long before symptoms appear. Each cigarette delivers chemicals that enter the bloodstream within seconds, reaching the heart and blood vessels almost immediately. These substances damage the inner lining Impact of smoking on cardiovascular health: Mechanisms, epidemiology and specific concerns regarding congenital heart disease ScienceDirect TwentyFourHour Cardiovascular Effects of Electronic Cigarettes Compared With Cigarette Smoking in Dual Users Journal of the American Heart Association How Smoking Affects Your Heart and Increases Disease Risk Inhaled nicotine equivalent to cigarette smoking disrupts systemic and uterine hemodynamics and induces cardiac arrhythmia in pregnant rats Scientific Reports Inhaling Harm: The Unseen Toll of Cigarettes on the Human Body Families

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