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Cotinine can also be detected in the urine if the person has been exposed to secondhand smoke, so its possible the participants could have been exposed to second-hand smoke in the days leading up to the collection of urine sample or they were bending the truth quite a bit, the researchers concluded

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About 50% of sudden deaths are due to myocardial infarction, with an average age of about 65 for men and 72 for women.[ref] Lifestyle factors: Always discussed with CAD are risk factors, including smoking, diabetes, high blood pressure, and high cholesterol

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