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This leads to the release of catecholamines (epinephrine, norepinephrine), resulting in immediate increases in heart rate, blood pressure, and myocardial contractility, thereby increasing cardiac workload and oxygen demand (24)

Am J Respir Cell Mol Biol 2020

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Fiona Andrews, director of Smoke Free South West, which has run a targeted information campaign on roll-ups after it emerged that 40 per cent of people in the region smoked them, said that rollie smokers could be immune to national quit smoking messages because they believed they were already reducing harms

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