Yes, exercise can be a major trigger for cardiovascular events as well, almost stereotypically so. This depends on your health and risk factors. Similarly, getting high isn't the same as going jogging, even if they both elevate your heart rate. How they do it, and what else they do matters. Chemical stimulants aren't anequivalent substitute for cardiovascular exercise.
>People should realize that smoke is always harmful and then do real studies on actual drugs if they want to know something about them
Smoke shouldn't really have anything to do with these findings. We're talking about heart disease and not lung cancer. Smoking cigarettes is a risk factor for heart disease, but that's not because it is smoke, it's about the chemically active compounds in cigarettes.