Smoking increases the risk of
coronary artery disease in people who have
high cholesterol and other diseases that increase the
risk of heart disease, such as high blood pressure and diabetes.
Cigarette smoking lowers HDL ("good") cholesterol. It also injures
the lining of the blood vessels and increases the risk of developing blood
clots, which contributes to atherosclerosis (hardening of the arteries). Even
inhaling others' cigarette smoke (second-hand smoke) has been shown to lower HDL
cholesterol.
Studies have shown that HDL levels often go up soon after a person
quits smoking. For information on how to quit, see the topic Quitting
Tobacco Use.