Vaping vs Cigarettes Health Impacts Compared The impact of e cigarettes versus traditional cigarettes on long term cardiopulmonary outcomes American Journal of Physiology Heart and Circulatory Physiology American Physiological Society How have e cigarettes changed over time? 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