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Can Vaping Cause Heart Palpitations? Expert Opinion When Should You Worry About Heart Palpitations? Tufts Medicine Smoking is the leading cause of heart disease. Every puff raises your blood pressure, damages your blood vessels, and increases the risk of a heart attack. Quit smoking today Why Am I Having Heart Palpitations? 14 Possible Causes Smoking affects the heart long before symptoms appear. Each cigarette delivers chemicals that enter the bloodstream within seconds, reaching the heart and blood vessels almost immediately. These substances damage the inner lining

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