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Well, the article states the stroke volume stayed the same, so smoking cigarettes doesnt make your heart stronger, it makes your heart beat faster

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Federal figures made public the same day as the Surgeon Generals announcement showed that in 2015, 16 percent of high school students reported at least some use of e-cigarettes, even those who had never smoked a traditional cigarette

Fatigue & Weakness Constant tiredness or weakness, even when you havent done much, might mean your heart isnt pumping efficiently