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Author Freddy Sitas (Associate Professor, UNSW Sydney) emphasized that the evidence is already sufficiently consistent to support concern, even though definitive long-term epidemiological data will take decades to accumulate

Patients who smoke are at a higher risk of a heart attack during or just after surgery, because smoking causes constriction of the blood vessels, says Simran Randhawa, MBBS, assistant professor of cardiothoracic surgery in the University of Colorado Department of Surgery

They will also have crows feet around their eyes because of the squinting a smoker does when smoke rises toward their eyes