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Muench et al., 2020

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Among adults aged 7079 participating in the Healthy Aging and Body Composition Study, the risk of heart failure was higher for current smokers compared to never smokers.(27) The Studies of Left Ventricular Dysfunction study, which included patients with a left ventricular ejection fraction below 35%, found a higher relative risk of all-cause mortality and congestive heart failure(CHF)-related mortality among current smokers than current non-smokers.(28) That study also found higher risk of hospitalization for CHF and higher risk of MI among current smokers compared to non-smokers

Cigarette smoke not only causes harm to yourself and those around you, it can also harm and cause damage to your HVAC system which could lead to potential breakdowns and expensive repairs