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Although public statements about smoking and CVD have been focusing on CHD and stroke, our results indicate the need to take account of PAD as well for comprehensively acknowledging the effect of smoking on overall cardiovascular health. Understanding tobacco use Clinicians experience may be that smokers are not ready to quit, that treatments are ineffective or that long-term success is rare, Nancy Rigotti, MD, professor of medicine at Harvard Medical School and director of the Tobacco Research and Treatment Center at Massachusetts General Hospital, and Mary M