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Smokers, especially those who begin young, are three times more likely to die prematurely from heart disease. Journal of the American Heart Association. October 28, 2020.

This prospective study included 390,929 adults, ages 25 to 74 years (average age of 47) with data collected between 1997 and 2014. During the follow-up period, 4,479 people died before the age of 75 from heart disease or stroke. Current smokers had nearly three times the risk of dying prematurely from heart disease. Among current smokers, 2% had started smoking before age 10, and 19% began smoking between ages 10 and 14. Those who quit smoking by the age of 40 reduced their excess risk of premature death from cardiovascular disease by about 90%.
https://www.ahajournals.org/doi/10.1161/JAHA.120.018431

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