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Furthermore, the considerable heterogeneity among the included studies, in terms of methodology, sample size, measured variables, and reporting, restricts our ability to directly compare findings across studies

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Smokers had a greater LV-LGE ratio, and multi-segment involvement of LV-LGEs

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This decrease coincided with a slight increase in the number of taxed cigarettes sold in the state relative to other states, and it is reasonable to assume that the rate decrease led to a small decrease in illegal cigarette purchases