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 E cigarettes linked to increased arterial stiffness, blood pressure and heart rate in humans ERS European Respiratory Society How do nicotine free e cigarettes affect blood vessels? The W.H.O. estimates over 100 million people now vape globally, and most believe they're making the safer choice. But safer than smoking and safe are not the same thing. Vaping still delivers