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If you notice an irregular heartbeat, this is a serious side effect and you should stop using nicotine and consult a healthcare provider immediately

[DOI] [PMC free article] [PubMed] [Google Scholar] Benowitz NL, Hukkanen J, Jacob P

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Common triggers include not only real-life stress, but also: inner tension, accumulated emotions, long-term overload, a thought that triggers a sense of threat It is important to distinguish whether palpitations appear in connection with stress, anxiety, or tension, or whether they arrive completely out of context

Childhood ADHD symptoms and risk for cigarette smoking during adolescence: school adjustment as a potential mediator