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Non cigarette tobacco productscigars, pipes, and smokeless tobaccopose substantial and distinct long term cardiovascular risks, including increased risks of stroke, heart failure, atrial fibrillation, heart failure, and coronary heart disease. https How Tobacco Use Impacts the Heart Oklahoma Heart Hospital Smokeless tobacco and cardiovascular disease in low and middle income countries ScienceDirect Tobacco Use Prevalence and Transitions From 2013 to 2018 Among Adults With a History of Cardiovascular Disease Journal of the American Heart Association How using cigars, pipes, or smokeless tobacco can harm your heart Heart Prevention UT Southwestern Medical Center
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