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 Vaping Causes Immediate Effects on Vascular Function RSNA Smoking and Vaping: A Growing Threat The National Herald Vaping and Electronic Cigarette Toxicity Overview and Recommendations (Project VECTOR) Intrepid Lab Vaping VS Non Vaping Comparison : r hypertension E cigarettes and Vaping Commercial Tobacco Use MN Dept. of Health