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The nicotine in smoke: Decreases the amount of oxygen your heart gets Increases your blood pressure Raises your heart rate Makes blood clots more likely which can lead to heart attacks or strokes Harms the insides of your blood vessels, including those in your heart Research has shown that smoking increases heart rate, tightens major arteries, and can cause an irregular heart rhythm, all of which make your heart work harder

Notably, the reverse was not truestudents who said they smoked cigarettes were no more likely to report use of e-cigarettes when asked approximately 6 months later

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