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Secondhand smoke (SHS) exposure has been linked harmful health outcome which is an important cause of short-lifespan morbidity and mortality. However, it is not clear pathological condition in old man exposure to SHS. This report reviews SHS exposure to old age to determine health mechanisms of the heart. SHS exposure increases the primary progressive atherosclerosis and arterial stiffness and increase risk of coronary disease events causes human diseases, especially in elderly. Aging is a physiology process involving progressive impairment of normal heart functions, due to an increasing vulnerability which reduces the ability of survive. Aging of the very elderly heart is associated with heart failure, expected or normal aging change. SHS exposure involves the combination of the smoke emitted by the burning end of a tobacco cigarette and the smoke exhaled by the smoker into the environment. SHS led to cardiac remodeling has been observed in exposed increases cardiovascular diseases mortality. Even for the elderly exposed to SHS at home was higher than outside of the home, or both at home and outside of the home.

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