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A cardiological examination, including electrocardiogram and echocardiography, revealed no findings of interest, and the results of a laboratory workup, including a complete blood count and coagulation tests, were normal apart from slightly elevated D-dimer levels

The use of cannabis over the last 30 days and a higher cigarette use habit, as well as second-hand smoke exposure, were other risk factors

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When the US went smoke-free on its domestic flights in the 1990s, it still let pilots smoke