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Smoking: A Direct Hit to the Heart Every puff of a cigarette is a direct challenge to your cardiovascular system. Beyond the lungs, the chemicals in tobacco smoke enter your bloodstream Every cigarette puts your heart under pressure. At Dr Rudd Cardiology, we see firsthand how smoking affects not just your lungs, but your heart and brain too. The good news? It's Smokers twice as likely to develop congestive heart failure UCLA Health Smoking Effects on the Body Short Term Effects of Smoking, Vaping, and Secondhand Smoke

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