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Nationally, the cigar use prevalence among high school students was 3.1%2 Economics of tobacco use and tobacco control Tobacco taxes in South Dakota South Dakota received $81.6 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2023.4 Of this, the state allocated $4.5 million in state funds to tobacco prevention in fiscal year 2023, 38.5% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $433 million per year.4 Smoking-caused losses in productivity: $838.6 million per year.5 South Dakota tobacco laws South Dakota tobacco laws Tobacco taxes South Dakota is ranked 30th in the U.S

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LV diameters and thicknesses, LV mass, end-diastolic LV relative wall thickness, end-diastolic RV diameter were determined in accordance with current ASE recommendations [20]

Transparency declaration: AH affirms that the manuscript is an honest, accurate, and transparent account of the study being reported

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