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After MI, continuing smokers have higher risk of recurrent coronary events than smokers who quit (RR 1.51, 95% CI 1.102.07).(29) Continued smoking after a stroke or transient ischemic attack, compared to quitting smoking, increases the 5-year risk of another stroke, MI, or death.(30) Continued smoking after an intervention for coronary artery disease also leads to negative outcomes

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Alcohol Both cigarettes and alcohol are addictive, but they affect the brain in different ways