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According to the American Heart Association, nicotine use can potentially cause an increase in: Blood pressure Heart rate Flow of blood to the heart Narrowing of the arteries, or vessels that carry blood On top of that, nicotine use can cause the hardening of the arterial walls, which in turn, may lead to a heart attack

They're also less harmful than cigarettes

However, it not be easy to cut out such a large part of numerous economies across the world

Washington DC: The National Academies of Sciences, Engineering and Medicine, 2018

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