The use of vapes and e cigarettes causes an immediate increase in blood pressure, heart rate, and blood vessel constriction. In the long run, this can cause an increased risk for heart disease. 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 Electronic Cigarette Use and Blood Pressure Endpoints: a Systematic Review Current Hypertension Reports Springer Nature Link Vaping and Electronic Cigarette Toxicity Overview and Recommendations (Project VECTOR) Intrepid Lab Could Vaping Reduce Your Blood Pressure? E Cigarette Direct Infographic: E cigarettes & Cardiovascular Disease World Heart Federation