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This is a condition caused by damage from tobacco smoke to the alveoli of the lungs

Nat Rev Cardiol 18(11):785802 (2021) Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants

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Over time, this can result in airflow limitation, ventilation-perfusion mismatch, hypoxemia, and frequent respiratory infections

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The former smoker evaluation covers how quit date and smoking history factor into eligibility once nicotine-free