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Tobacco and Cigarettes: Factsheet Positive Choices How Smoking Affects Your Veins & Arteries, And Why That Really Matters Evansville Surgical Associates Arterial Vasoconstriction Normal Constricted Blood Vessels 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
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