Even just a few cigarettes a day can quietly damage your heart for decades

Credit: Unsplash+

Many people believe that only heavy smokers are at serious risk of developing heart disease or dying early. Some people even think that smoking just a few cigarettes a day, or only on the weekend, is “not that bad.”

But a large new review of research tells a very different story. It shows that even light smoking can cause serious and long-lasting damage to the heart and overall health, and the effects can remain long after a person quits.

This important work was led by Michael Blaha and his team at the Johns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease in the United States. The findings were published in the open-access medical journal PLOS Medicine.

Instead of focusing on just one small study, the researchers looked at data from nearly two dozen long-term studies. These studies followed people over many years to see how their habits, including smoking, affected their health and lifespan.

In total, the researchers examined information from more than 300,000 adults who took part in 22 long-term studies. Some of these people were followed for almost 20 years.

Over that time, more than 125,000 people died, and around 54,000 serious heart-related events were recorded, including heart attacks, strokes, and heart failure. This large amount of data gave the researchers a clear and reliable picture of what really happens to the body when a person smokes, even in small amounts.

The results were both surprising and worrying. People who smoked only two to five cigarettes per day had about a 50 percent higher risk of developing heart failure compared to people who never smoked at all.

Even more shocking, their risk of dying from any cause was about 60 percent higher than people who had never touched a cigarette. This means that “light smoking” is far from safe. The body is still being harmed in deep and serious ways, even when the number of cigarettes seems small.

The researchers also looked at what happens after someone quits smoking. They found that the greatest drop in heart risk happens within the first ten years after quitting. During this time, the body starts to repair itself, and the heart and blood vessels begin to recover. However, the story does not end there.

Even after ten years, and even after thirty years in some cases, former smokers still had a higher risk of heart disease compared to people who had never smoked at all. This shows just how powerful and long-lasting the damage from smoking can be.

One very important message from this study is that cutting back on cigarettes is not enough. Some people think they are being healthier by going from a pack a day to just a few cigarettes. While that might slightly reduce harm, it does not remove the danger.

The study clearly shows that only completely quitting smoking can provide real protection. Stopping entirely, and doing so as early in life as possible, is the best way to lower the risk of heart disease and early death.

The researchers also emphasized that the amount of time spent not smoking is more important than the amount of time spent smoking fewer cigarettes.

In other words, a person who quits early and stays smoke-free for many years will do much better than someone who smokes a small number of cigarettes over a long period of time. This is a powerful reminder that there is no “safe” level of smoking.

This study is one of the largest and most detailed studies on smoking and heart health ever conducted. Because it used high-quality data from many long-term studies, the researchers are confident in their conclusions.

Their findings strongly support public health messages that have been shared for years: do not start smoking if you can help it, and if you already smoke, quit as soon as possible.

Looking closely at these results, it becomes clear that light smoking is a hidden danger. Many people who smoke only a few cigarettes do not feel sick, so they may believe it is harmless. But inside the body, the damage is happening slowly and quietly. Blood vessels become less healthy, the heart has to work harder, and the risks build up year after year.

In reviewing and analysing this study, one key message stands out clearly. Smoking even a small number of cigarettes each day significantly increases the risk of heart problems and early death, and the effects can last for decades.

While quitting can greatly lower these risks, the earlier a person quits, the more protection their body receives. This research strengthens the case for stronger education, better support for quitting, and greater awareness that there is no safe amount of smoking.

If you care about heart disease, please read studies that herbal supplements could harm your heart rhythm, and how eating eggs can help reduce heart disease risk.

For more health information, please see recent studies that apple juice could benefit your heart health, and results showing yogurt may help lower the death risks in heart disease.

Copyright © 2025 Knowridge Science Report. All rights reserved.