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One of our major reasons for publishing this case history is to inform our colleagues about the possible risks involved with vaping. The European Respiratory Societys editorial on smoking cessation highlights some of the issues of using e-cigarettes as an alternative to smoking and concludes that: The tobacco harm reduction strategy is based on well-meaning but incorrect or undocumented claims or assumptions. Editorial co-author Jrgen Vestbo, Professor of Respiratory Medicine at the University of Manchester, UK, said: Research on e-cigarettes is still less developed than it is for smoking

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9 It is not clear if vasospasm was the inciting factor for thrombus formation in this case, as there was extensive and diffuse thrombus far greater than that expected solely from coronary artery vasospasm

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In court papers obtained by E