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Medical literature on green tobacco sickness describes initial tachycardia and hypertension followed by lowered heart rate and blood pressure in more severe presentations

This is because IQOS provides substantially fewer harmful chemicals than traditional cigarettes, as it merely heats the tobacco rather than burning it

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Summary What is known about this topic Cigarette smoking is a well-established cardiovascular risk factor, but population-based evidence on the association between e-cigarette use and hypertension remains inconsistent, particularly when exclusive e-cigarette use, dual use, and smoking history are not clearly distinguished