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Metals such as zinc and cadmium are common in the heating coils and can cause inflammatory injuries to the lungs

Nationally, the rate was 8.8%.2 Other tobacco product use: Kentucky E-cigarette and smokeless tobacco use in Kentucky In 2017, 6.1% of adults used e-cigarettes and 7.6% used smokeless tobacco.3 In 2017, 14.1% of high school students in Kentucky used electronic vapor products on at least one day in the past 30 days

Our study indicates that chemical constituents of e-cigarettes could contribute to cardiac risk by provoking pro-arrhythmic changes and stimulating autonomic reflexes