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When your blood vessels narrow or become blocked, you may experience serious heart problems, such as: Heart attack, or the lack of blood flow to the heart Heart failure, or the hearts inability to deliver enough blood to other organs Arrhythmia, or an irregular heartbeat How large is the risk of smoking-related heart problems

Physical Signs Cravings or urges to use nicotine within hours of your last cigarette or vape

Stewart ST, Cutler DM, Rosen AB

The research reveals that simultaneous use of these substances significantly increases the chances of adverse newborn outcomes, such as preterm delivery, small gestational size, and infant mortality