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ACS is diagnosed based on American College of Cardiology and American Heart Association guidelines, which require at least two of the following features: typical electrocardiographic changes, compatible clinical symptoms, and elevated cardiac biomarkers (troponin T and I) 20
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A study published in the Journal of Environmental Public Health revealed that herbal cigarette smoke contains many of the same toxic compounds found in tobacco smoke, including carbon monoxide and polycyclic aromatic hydrocarbons (which are known carcinogens)
