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83 - 87 Copyright Copyright The Author(s) 2018 Introduction Smoking is one of the most important risk factors associated with cardiovascular and aortic disease (Katsiki, Papadopoulou, Fachantidou, & Mikhailidis, Reference Katsiki, Papadopoulou, Fachantidou and Mikhailidis2013), responsible for 700,000 deaths annually in the European Union (Maurice, Reference Maurice2014) and causing hundreds of billions of dollars of economic harm annually in the form of excess healthcare costs and lost productivity