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This compensatory behavior can result in higher cumulative exposure to nicotine, tar, and other toxic substances, which are significant contributors to respiratory and cardiovascular diseases

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There is research indicating that nicotine-containing e-cigarettes are associated with acute changes in several hemodynamic measures, including increases in blood pressure and heart rate, said the volunteer chair of the scientific statement writing committee Jason Rose, MD, MBA , Associate Professor of Medicine and Associate Dean of Innovation and Physician Science Development at the University of Maryland School of Medicine in Baltimore