Cardiopulmonary Impact of Electronic Cigarettes and Vaping Products: A Scientific Statement From the American Heart Association Circulation What is e Cigarette and Associated Health Risks IntechOpen Electronic Nicotine Delivery Systems (ENDS), including e cigarettes and vapes, are often perceived as a safer alternative to traditional tobacco. But is the evidence really supporting this belief? A recent umbrella review published How do nicotine free e cigarettes affect blood vessels? E cigarettes linked to increased arterial stiffness, blood pressure and heart rate in humans ERS European Respiratory Society