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Is Smoking a Reason for Increased High Blood Pressure? 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 Could Vaping Reduce Your Blood Pressure? E Cigarette Direct Smoking and Your Heart How Smoking Affects the Heart and Blood Vessels NHLBI, NIH
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