Electronic Cigarettes and Cardiovascular Risk Smoking Exclusive E Cigarette Use Linked to Lung and Blood Pressure Risks European Medical Journal Exclusive E Cigarette Use Linked to Lung and Blood Pressure Risks 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 and Electronic Cigarette Toxicity Overview and Recommendations (Project VECTOR) Intrepid Lab PET imaging shows greater lung inflammation in e cigarette users than cigarette smokers