Cardiovascular Outcomes associated With adult Electronic Cigarette Use.

Introduction:
This text discusses a study on the association between electronic cigarette (E-Cigs) use and cardiovascular disease outcomes. The study used self-reported data from the National health Interview Survey from 2014, 2016, 2017, and 2018. The key points and main message of the text are summarized below.

Key Points:
• The study involved 16,855 participants, and the primary outcomes were myocardial infarction, stroke, and coronary heart disease.
• E-Cigs users had higher odds of myocardial infarction when compared to non-users.
• Dual users had higher odds of myocardial infarction, stroke, and coronary artery disease when compared to non-users.
• Most participants were tobacco users, and E-Cigs users were much younger (mean age 26.7 years) compared to tobacco users (44 years).
• The study used logistic regression analyses with Fisher’s scoring iterative algorithm, and age, sex, and BMI were covariates in the multiple logistic regression models.
• The study data is self-reported, subject to recall bias, social desirability, and other limitations.

Main Message:
The main message of the text is that E-Cigs use, especially when paired with tobacco use, is associated with negative cardiovascular outcomes. The study establishes an association, but more longitudinal cohort studies are needed to establish causation. The study's findings suggest that E-Cigs use is not a safer alternative to smoking, and users should be aware of the potential risks. additionally, regulatory bodies should consider these risks when developing policies and regulations around E-Cigs use.

Vindhyal MR, Okut h, ablah E, Ndunda PM, Kallail KJ, Choi WS. Cardiovascular Outcomes associated With adult Electronic Cigarette Use. Cureus. 2020;12(8):1. doi:10.7759/cureus.9618