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We identified 22 Cochrane systematic reviews on behavioural interventions, pharmacotherapies, combined behavioural and pharmacotherapy interventions, and other interventions.22 We updated our search in June 2024, and findings on benefits and harms were consistent with results from earlier searches (Appendix 2, available at www.cmaj.ca/lookup/doi/10.1503/cmaj.241584/tab-related-content)

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There is therefore clearly nothing worse than tobacco for cardiovascular health and, for smokers, quitting smoking remains the most effective intervention to reduce the risk of serious cardiac events