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Name: does cigarettes increase heart rate How Smoking Affects Health cigarettes increase heart rate Vaping
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doi: 10.4088/JCP.0507e12 23 HerreroP.ContadorI.SternY.Fernndez-CalvoB.SnchezA.RamosF

It is shorthand for 20 pack-years: the total exposure reached by smoking one pack daily for 20 years, two packs daily for 10 years, etc

The villain The Tall Man does this in one of the Phantasm movies

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