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As far as behaviour change, it is imperative to quit smoking as early in life as possible, as the amount of time passed since complete cessation from cigarettes is more important than prolonged exposure to a lower quantity of cigarettes each day. Dr Jennifer Miao, a cardiologist at Yale University, explained that tobacco use is a very well-established risk factor for heart disease that damages the blood vessel lining and accelerates the development of plaques and coronary artery disease