Cardiopulmonary Impact of Electronic Cigarettes and Vaping Products: A Scientific Statement From the American Heart Association Circulation 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 Vaping isn't harmless. While e cigarettes don't contain tobacco, nicotine is highly addictive and can harm brain development. E cigarettes can cause EVALIa serious lung injury linked to vaping. Symptoms like cough, chest E Cigarettes and Eco Consequences Effects of ecigarettes and vaping devices on cardiac and pulmonary physiology Tsai 2020 The Journal of Physiology Wiley Online Library E Cigarettes and Vaping OHSU