Impact of electronic cigarette use on blood pressure: A systematic review ScienceDirect 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 TwentyFourHour Cardiovascular Effects of Electronic Cigarettes Compared With Cigarette Smoking in Dual Users Journal of the American Heart Association E cigarette use lowers lung function, heightens blood pressure, heart rate Vaping, Venous Valves, and Vein Disease