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Abstract Aim of the work To study changes in serum lipids and lipoproteins particularly lipoprotein (a) in cigarette smokers compared to non-smokers. Conclusion 1- Cigarette smoking affects adversely the lipid profile leading to increased total cholesterol, LDL-C, triglyceride and decreased HDL-C. 2- Heavy smoking has no effect on Lp (a) which may be to a large extent genetically determined. 3- Moderate smoking may lead to decreased Lp (a), but the statistical power of this entity is low and large prospective study is needed. 4- We advise smokers to avoid and stop this habit immediately as the dyslipidaemic effect caused by smoking increases atherosclerosis. They also deprive from the antiatherogenic effect of HDL. 5- The smoker may, genetically have high Lp (a) which if more than 30 mg/dL the risk for myocardial infarction increases twofold and if his serum LDL level rises as a result of smoking, hence both factors are elevated and the risk of acquiring myocardial infarction is increased fivefold. |