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So, let's say a patient who smoked on average, one pack per day, started at an age of, let's say, 15, and smoked until the age of 35, then he would have 20 pack years

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Alan Blum, MD, Department of Family Medicine, Baylor College of Medicine, Houston, Texas Smoking is the only completely avoidable risk factor for cardiovascular disease

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Hundreds of the charred butts of such cigarettes have been found in the prehistoric ruins of the Southwest, but they are lacking in the lower archaeological levels, and the earliest inhabitants of the region were probably pipe and not cigarette smokers