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"We found that current smoking and accumulated pack-years were associated with worsening of the structure and function of the left heart chamber -- the most important part of the heart," said Holt

Extensive evidence shows that greater cumulative smoking exposure, measured in pack-years, increases cardiovascular risk

For more information Speak with your teens doctor Kids Health Info: Nicotine Australian Government Department of Health, Disability and Ageing: About vaping and e-cigarettes Cancer Council Australia: E-cigarettes and vaping VicHealth: Vaping conversation guide for parents Therapeutic Goods Administration: Vaping hub Quitline Aboriginal Quitline Lung Foundation Australia: Quitting vaping The Koori Way New South Wales Health: Every vape is a hit to your health Developed by The Royal Childrens Hospital (RCH) Adolescent Medicine department, with input from the Respiratory department

2014 Oct-Dec;7(4):512-5

In early drafts of The Conversation , Harry Caul was named Harry Caller, later changed to Harry Call, then finally Harry Caul