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In addition, the results were obtained with adjustment for a wide variety of potential confounding factors, including age, physical activity, alcohol intake, body mass index, estimated glomerular filtration rate, diabetes, hypertension, and dyslipidemia

Laboratory evidence suggests this is because toxins in tobacco smoke peak at low levels of exposure, increasing the stickiness of the blood (the tendency of the platelets to aggregate) and inflaming the arteries, increasing the risk of thrombosis a blood clot that can trigger a heart attack

Secondhand smoke exposure doesnt just affect smokers

A recent advisory by the US Surgeon General stated that loneliness could be as deadly as smoking 15 cigarettes a day