In their Heart publication, Lloyd et al1 collected close to 1800 patients with ST-elevation myocardial infarction (STEMI) in England. They found that smokers were more common in this population (48.5% compared with 22.4%). They found that smoking was exceptionally common in young patients with STEMI (75%). Patients under the age of 50 had an eightfold increase in risk for myocardial infarction (MI) compared with non-smokers their age. This study supports previous studies that have shown the importance of smoking as a major risk factor for young patients with STEMI. As previous studies have shown, on average, …