Smoking and Your Health
Most people associate cigarette smoking with breathing problems and lung cancer. But smoking is also a major cause of cardiovascular (heart and blood vessel) disease. Smoking and tobacco use are significant risk factors for a variety of chronic disorders.
What's the link between smoking and cardiovascular disease?
Smoking is a major cause of atherosclerosis - a buildup of fatty substances in the arteries. Atherosclerosis occurs when the normal lining of the arteries deteriorates, the walls of the arteries thicken and deposits of fat and plaque block the flow of blood through the arteries. In coronary artery disease, the arteries that supply blood to the heart become severely narrowed, decreasing the supply of oxygen-rich blood to the heart, especially during times of increased activity. Extra strain on the heart may result in chest pain (angina pectoris) and other symptoms. When one or more of the coronary arteries are completely blocked, a heart attack (injury to the heart muscle) may occur.
In peripheral artery disease, atherosclerosis affects the arteries that carry blood to the arms and legs. As a result, you may experience painful cramping of the leg muscles when walking (a condition called intermittent claudication). Peripheral artery disease also increases the risk of stroke.
What’s the link between smoking and heart attack?
A person’s risk of heart attack greatly increases with the number of cigarettes he or she smokes. There is no safe amount of smoking. Smokers continue to increase their risk of heart attack the longer they smoke. People who smoke a pack of cigarettes a day have more than twice the risk of heart attack than nonsmokers.
What’s the link between smoking and oral contraceptives?
Women who smoke and also use oral contraceptives (birth control pills) increase several times their risk of coronary and peripheral artery diseases, heart attack and stroke, compared with nonsmoking women who use oral contraceptives.
What other medical conditions are linked with smoking?
Cigarettes have multiple poisons, including addictive nicotine, carbon monoxide, “tars” and hydrogen cyanide. There are 4,000 other chemicals of varying toxicity, including 43 known carcinogens.
Smoking causes:

• Decreased oxygen to the heart and to other tissues in the body
• Decreased exercise tolerance
• Decreased HDL (good) cholesterol
• Increased blood pressure and heart rate
• Damage to cells that line coronary arteries and other blood vessels
• Increased risk of developing coronary artery disease and heart attack
• Increased risk of developing peripheral artery disease and stroke
• Increased risk of developing lung cancer, throat cancer, chronic asthma, chronic bronchitis and emphysema
• Increased risk of developing diabetes
• Increased risk of developing a variety of other conditions including gum disease and ulcers
• Increase tendency for blood clotting
• Increased risk of recurrent coronary artery disease after bypass surgery
• Increased risk of becoming sick (especially among children: respiratory infections are more common among children exposed to second-hand smoke)

How does cigarette smoke affect others?
Cigarette smoke does not just affect smokers. When you smoke, the people around you are also at risk for developing health problems, especially children. Environmental tobacco smoke (also called passive smoke or second-hand smoke) affects people who are frequently around smokers. Second-hand smoke can cause chronic respiratory conditions, cancer and heart disease. 
The benefits of quitting smoking
Now that you know how smoking can be harmful to your health and the health of those around you, here’s how quitting smoking can be helpful. If you quit smoking, you will:

• Prolong your life.  According to the American Heart Association, smokers who quit between ages 35-39 add an average of 6-9 years to their lives. Smokers who quit between ages 65-69 increase their life expectancy by 1-4 years.
• Reduce your risk of cardiovascular disease. Quitting smoking reduces the risk of repeat heart attacks and death from heart disease by 50 percent or more. Quitting smoking also reduces your risk of high blood pressure, peripheral artery disease and stroke.
• Reduce your risk of developing a variety of other conditions including diabetes, lung cancer, throat cancer, emphysema, chronic bronchitis, chronic asthma, ulcers, gum disease and many other conditions.
• Feel healthier. After quitting, you won't cough as much, have as many sore throats and you will increase your energy.
• Look and feel better.  Quitting can help you prevent face wrinkles, get rid of stained teeth, improve your skin and even get rid of the stale smell in your clothes and hair.
• Improve your sense of taste and smell.
• Save money.

How can I quit?
There's no one way to quit that works for everyone. To quit smoking, you must be ready emotionally and mentally. You must also want to quit smoking for yourself, and not to please your friends or family. Plan ahead.
 Before you quit:
(Check off the items on this list as you accomplish them)
 Pick a date to stop smoking and then stick to it.
 Write down your reasons for quitting. Read over the list every day, before and after   you quit.
 Write down when you smoke, why you smoke and what you are doing when you smoke to learn your smoking "triggers."
 Stop smoking in certain situations (such as at your work break or after dinner) before actually quitting.
 Make a list of activities you can do instead of smoking.
 Visualize yourself as a nonsmoker.
 Tell your family and friends about your plans to quit and ask them for their support. Ask your family members who smoke to quit with you.
 Ask Us about using smoking cessation aids to help you quit smoking. Nicotine replacement aids include gum, nicotine patches, inhalers, sublingual (under-the-tongue) tablets, lozenges, and nasal spray or prescription medications.

• Join a smoking cessation support group or program. See the Resources at the end of this information.