- Emphysema. Decreased surface area for gas exchange, because the alveoli are broken down. Phagocytes reach tar by making a pathway through the walls of the alveoli.
- Lung cancer. The carcinogenic compounds in tar change the DNA in our airways. They grow and divide in. When they accumulate, it is called a tumour, which may end up growing so large that it blocks the airways and blood vessels.
- Heart disease. Coronary heart disease is caused by nicotine, as large amounts of it increase the chances of blood clots. The heart muscle is damaged by the lack of oxygen.
- Tar causes the lining of the airways to produce extra mucus, due to irritation. The excess mucus will gather together in the airways because the cilia become too damaged to remove the mucus. The phrase "smoker's cough" comes from this syndrome, because smokers cough in order to shift the mucus to the back of the throat
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