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Reviewed By:
Michael
Joseph Blaha, M.D., M.P.H.
If you have thought about trying to kick a smoking habit,
you’re not alone. Nearly 7 of 10 smokers say they want to stop.
Quitting smoking is one of the best things you can do for
your health — smoking harms nearly every organ in your body, including your
heart.
Nearly one-third of deaths from heart disease are the result
of smoking and secondhand smoke.
You might be tempted to turn to electronic cigarettes (e-cigarettes,
vape pens, and other vaping devices) as a way to ease the transition from
traditional cigarettes to not smoking at all.
But is smoking e-cigarettes (also called vaping) better for
you than using tobacco products?
Can e-cigarettes help you to stop smoking once and for
all? Michael Blaha, M.D., M.P.H., director of
clinical research at the Johns Hopkins Ciccarone Center for the Prevention of
Heart Disease, shares health information about vaping.
1: Vaping
Is Less Harmful Than Smoking, but It’s Still Not Safe
E-cigarettes heat nicotine (extracted from tobacco),
flavorings and other chemicals to create an aerosol that you inhale.
Regular tobacco cigarettes contain 7,000 chemicals, many of
which are toxic.
While we don’t know exactly what
chemicals are in e-cigarettes, Blaha says “there’s almost no doubt that they
expose you to fewer toxic chemicals than traditional cigarettes.”
As of Jan. 21, 2020, the Centers for Disease Control and
Prevention (CDC) confirmed 60 deaths in patients with e-cigarette, or
vaping, product use associated lung injury (EVALI).
“These cases appear to predominantly
affect people who modify their vaping devices or use black market modified
e-liquids. This is especially true for vaping products containing
tetrahydrocannabinol (THC),” explains Blaha.
The CDC has identified vitamin E acetate as a chemical of
concern among people with EVALI.
Vitamin E acetate is a thickening agent often used in THC
vaping products, and it was found in all lung fluid samples of EVALI patients
examined by the CDC.
The CDC recommends that people:
· Do not use
THC-containing e-cigarette, or vaping, products
· Avoid using
informal sources, such as friends, family or online dealers to obtain a vaping
device.
· Do not modify or
add any substances to a vaping device that are not intended by the
manufacturer.
2: Research
Suggests Vaping Is Bad for Your Heart and Lungs
Nicotine is the primary agent in both regular cigarettes and
e-cigarettes, and it is highly addictive.
It causes you to crave a smoke and suffer withdrawal
symptoms if you ignore the craving.
Nicotine is also a toxic substance. It raises your blood
pressure and spikes your adrenaline, which increases your heart rate and the
likelihood of having a heart attack.
Is vaping bad for you? There are many unknowns about vaping,
including what chemicals make up the vapor and how they affect physical health
over the long term.
“People need to understand that e-cigarettes
are potentially dangerous to your health,” says Blaha.
“Emerging data suggests links to chronic lung disease and asthma, and
associations between dual use of e-cigarettes and smoking with cardiovascular disease. You’re exposing
yourself to all kinds of chemicals that we don’t yet understand and that are
probably not safe.”
3: Electronic
Cigarettes Are Just As Addictive As Traditional Ones
Both e-cigarettes and regular cigarettes contain nicotine,
which research suggests may be as addictive as heroin and cocaine.
What’s worse, says Blaha, many e-cigarette users get even
more nicotine than they would from a tobacco product — you can buy
extra-strength cartridges, which have a higher concentration of nicotine, or
you can increase the e-cigarette’s voltage to get a greater hit of the
substance.
4: Electronic
Cigarettes Aren’t the Best Smoking Cessation Tool
Although they’ve been marketed as an aid to help you quit
smoking, e-cigarettes have not received Food and Drug Administration approval
as smoking cessation devices.
A recent study found that most people who intended to use
e-cigarettes to kick the nicotine habit ended up continuing to smoke both
traditional and e-cigarettes.
In the light of the EVALI outbreak, the CDC advises adults
who use e-cigarettes for smoking cessation to weigh the risks and benefits and
consider use of other FDA-approved smoking
cessation options.
5: A
New Generation Is Getting Hooked on Nicotine
Among youth, e-cigarettes are more popular than any
traditional tobacco product.
In 2015, the U.S. surgeon general reported that e-cigarette
use among high school students had increased by 900%, and 40% of young e-cigarette
users had never smoked regular tobacco.
According to Blaha, there are three reasons e-cigarettes may
be particularly enticing to young people.
First, many teens believe that vaping is less harmful than
smoking.
Finally, vape cartridges are often formulated with
flavorings such as apple pie and watermelon that appeal to younger users.
Both youths and adults find the lack of smoke appealing.
With no smell, e-cigarettes reduce the stigma of smoking.
“What I find most concerning about the
rise of vaping is that people who would’ve never smoked otherwise, especially
youth, are taking up the habit,” says Blaha.
“It’s one thing if you convert from
cigarette smoking to vaping. It’s quite another thing to start up nicotine use
with vaping. And, it often leads to using traditional tobacco products down the
road.”
Want to Quit Smoking?
There’s a strong link between smoking and cardiovascular disease, and
between smoking and cancer.
But the sooner you quit, the quicker your body can rebound
and repair itself. Talk to your doctor about what smoking cessation program or
tools would be best for you.
Michael Joseph Blaha, M.D., M.P.H.
Director of Clinical Research,
Ciccarone Center for the Prevention of Cardiovascular Disease
Professor of Medicine
Male
EXPERTISE
Cardiovascular Computed
Tomography, Cardiovascular Disease, Preventive Cardiology
RESEARCH INTERESTS
Primary Prevention of Heart
Disease and Stroke; Advanced Subclinical Atherosclerosis
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