For instance, a 2019 study in the American Journal of Medicine, including a nationwide survey of almost 450,000 people, found no substantial link between vaping and heart disease.[24] However, based on the same survey, research published by the American Heart Association stated that e-cigarettes were associated with higher risk of heart disease, heart attack, stroke and angina.[25] There is currently not enough evidence that proves vaping causes heart disease
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Still, he and his coauthors concluded, their findings provide preliminary evidence that a substantial reduction in nicotine content is associated with reduced smoking, nicotine exposure and nicotine dependence without serious adverse effects, including nicotine withdrawal
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