# Cardiovascular Consequences of E-Cigarettes: A New Challenge for Cardiologists

**Authors:** Florin-Dumitru Mihălțan, Ruxandra Ulmeanu, Armand Râjnoveanu, Ancuța-Alina Constantin

PMC · DOI: 10.3390/jcm15062226 · Journal of Clinical Medicine · 2026-03-15

## TL;DR

E-cigarettes, while marketed as safer alternatives, are linked to various cardiovascular issues like heart disease and high blood pressure.

## Contribution

This review compiles evidence on e-cigarettes' cardiovascular risks and suggests strategies to address their spread.

## Key findings

- E-cigarettes are associated with coronary artery disease and myocardial infarction.
- They contribute to arrhythmias and arterial hypertension.
- Data from major health organizations support these adverse cardiovascular effects.

## Abstract

The electronic cigarette has divided the medical community. While promoted as a tool for smoking cessation, its use has opened a Pandora’s box. Evidence from studies on both cardiovascular and pulmonary health demonstrates that e-cigarettes are associated with multiple adverse effects. In this review, we specifically examine their consequences and associations with coronary artery disease, myocardial infarction, arrhythmias, arterial hypertension, and related conditions. Finally, we highlight approaches to counter the spread of these so-called harm-reduction alternatives, drawing on data from the European Respiratory Society, the European Society of Cardiology, and the Cochrane Collaboration.

## Linked entities

- **Diseases:** coronary artery disease (MONDO:0005010), myocardial infarction (MONDO:0005068)

## Full-text entities

- **Diseases:** hypertension (MESH:D006973), smoking (MESH:D015208), arrhythmias (MESH:D001145), coronary artery disease (MESH:D003324), myocardial infarction (MESH:D009203)

## Full text

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## Figures

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## References

73 references — full list in the complete paper: https://tomesphere.com/paper/PMC13026386/full.md

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Source: https://tomesphere.com/paper/PMC13026386