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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 Can Vaping Cause Heart Palpitations? Expert Opinion Smoking Causes Cancer, Heart Disease, Emphysema Smoking and Your Heart How Smoking Affects the Heart and Blood Vessels NHLBI, NIH The REAL Story of Smoking and Heart Health Your Heart Rate After Quitting: The Changes You'll Actually Feel
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