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Smokers of combustible cigarettes have worse myocardial function parameters and worse scores on the myocardial performance index after smoking a combustible cigarette.[34-36] However, e-cigarette users appear to have no change in myocardial function parameters or myocardial performance index scores immediately after e-cigarette use.[37] This suggests improved myocardial health for smokers of combustible cigarettes who switch completely to e-cigarettes, thereby providing another possible benefit of cardiovascular harm reduction

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[56] The smoking age in Nevada was 18 in 1988