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Smoking triggers an immediate, temporary spike in blood pressure and damages artery walls. While the direct, long term link to chronic hypertension is complex and debated, smoking heavily accelerates plaque buildup, narrows blood Nicotine and the cardiovascular system: unmasking a global public health threat PMC Is Smoking a Reason for Increased High Blood Pressure? Association between weight gain following smoking cessation and development of hypertension in the future Hypertension Research
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