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The interests of Japans 12,000 tobacco farmers has traditionally been one of the governments excuses for not cracking down more on smoking

Additionally, results of the National Youth Tobacco Survey show an estimated 4.6 million middle and high school students currently used a tobacco product in 2014

Mohammadi, A., Malakootian, M., Dobaradaran, S., Hashemi, M

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Electronic Cigarettes, Hemodynamic Changes, and Arterial Stiffness Combustible tobacco product consumption is a well-known contributor to a wide range of side effects impacting overall cardiac hemodynamics, including elevations in heart rate [68], blood pressure [69], and changes in arterial stiffness [70], all associated with cardiovascular disease development including hypertension, myocardial infarction, aortic aneurysm, atherosclerosis, stroke, or even greater mortality [71]