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How smoking aggravates chronic conditions.

Emphysema
Emphysema is a chronic lung disease that is almost always caused by years of smoking. Because emphysema destroys air sacs, the lungs transfer less oxygen to the bloodstream, causing shortness of breath. The lungs also lose their elasticity, so patients experience great difficulty exhaling.

Asthma
Asthma is a potentially life-threatening disease of the bronchial tubes, the airways that branch into the lungs. In an asthma attack, airflow in and out of the lungs is blocked. Smoking can trigger asthma by irritating the bronchial tubes and allowing irritants to settle in the airways.

Diabetes type 2
Diabetes type 2 is caused by the body's decreased ability to make sufficient or effective use of insulin. Smoking constricts the blood vessels, aggravating diabetic symptoms like foot ulcers, blood vessel disease, and leg and foot infections. Smokers with diabetes are also more likely to suffer from nerve damage and kidney disease.

Hypertension, or high blood pressure
Smoking increases blood pressure by constricting arteries. High blood pressure directly increases the risk of coronary heart disease, heart attack, and stroke, especially when combined with other risk factors.

Heart attack
A smoker's risk of heart attack is more than twice that of nonsmoker's, according to the American Heart Association.