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doi:10.1089/acm.2009.0445

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Abstinence from smoking can trigger unpleasant withdrawal symptoms, such as difficulty sleeping or irritation, Paradoxically, smoking can also inadvertently contribute to chest pain, harming the cardiovascular system in ways causing the cells lining the blood vessels to become inflamed contributing to the development of certain cardiovascular conditions, such as: atherosclerosis stroke coronary heart disease peripheral arterial disease increasing the risk of heart attack Quitting smoking will also decrease the risk of cardiovascular issues, but the body responding to the lack of nicotine may also produce withdrawal symptoms such as chest pain