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Conclusions On the basis of current evidence, we believe it is time for a paradigm change in assessing and reporting patients smoking history to include both the composite of pack-years and the duration of smokingwhether it be for patient care or research

Cardiac diseases have been rising alarmingly among young people, with 25% of all heart attacks occurring in patients less than 40, up from 10% a decade ago, said Mandal.It was relatively uncommon to see young individuals requiring major cardiac intervention unless there was a strong family history or congenital problem till a decade ago, said BP Poddar Hospital cardiologist Abhijit Aich Bhaumik