A most recent randomized controlled trial also confirmed that e-cigarette is not a tobacco cessation tool (5, 6). Accordingly, adolescents are more likely to believe that e-cigarettes are less harmful than combustible cigarettes (4, 5). There is still grossly insufficient evidence, however, tobacco industry sponsored online information are promoting electronic cigarettes as a less harmful tobacco cessation tool. These studies appropriately and timely bring light and the questions regarding its effects on human health.
Even though cross-sectional study design would not allow us to make conclusions about causality, accumulating evidence also shows that the short- and long-term health impact of e-cigarettes -use may be more harmful than we know (3). Unfortunately, this is the most common use pattern among e-cigarette users.
More importantly daily dual use (combustible tobacco plus e-cigarettes in combination) is significantly increasing the odds of having MI by almost 3 times (OR 2.72 CI=1.70 - 4.62)(2). While further evidence has emerged that daily e-cigarette use was independently associated with increased odds of having had a myocardial infarction (OR=1.79, 95%CI=1.20- 2.66), there is still insufficient prevention awareness initiatives to minimize adolescents up taking e- cigarette use (2). Furthermore, parents and caregiver awareness of this global epidemic is cornerstone for effective prevention efforts. The article statement “Quitting vaping is just as hard as quitting smoking”(1) is timely. With rapidly increasing adolescent’s e-cigarette use in North America and worldwide the balanced review to highlight the parents and caregiver role of preventing e cigarette use of our vulnerable children is utmost important. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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