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However, epidemiological studies assessing Swedish smokeless tobacco, which exposes users to nicotine without combustion products, generally have not found an increased risk of myocardial infarction or stroke among users, but suggest that nicotine might contribute to acute cardiovascular events, especially in those with underlying coronary heart disease

Mostly, e-cigarettes contain nicotine

But this study wasnt independent it was commissioned and funded by BAT

The Role of Lifestyle Modifications in Preventing and Managing Systemic Hypertension: Current Guidelines and Future Directions Erwa Elmakki Annals of African Medicine 16

TIMB sets stage for 2026 marketing season amid record output, global market pressures The Tobacco Industry and Marketing Board (TIMB) says Zimbabwes tobacco sector is entering the 2026 marketing season on a strong but strategically cautious footing, with record production expected, structural reforms underway and renewed focus on quality in the face of global oversupply