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Cigar smoking

Relative risk for coronary artery disease is 1.27.

Increases cardiovascular event by 25%.

Associated with an increase risk of COPD and malignancies of lung.

In patients exposed to cigar smoke there is a higher level of cotinine, urinary 4-methylnitrosamino-1-3-pyroxylin -1-butanol (NNAL), blood lead, blood cadmium, and urinary arsenic.

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