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It plays a significant role in both the development and worsening of hypertension. She points to medical data that shows smoking is responsible for approximately 10 to 15 per cent of all hypertension cases, with smokers being 2 to 3 times more likely to develop high blood pressure compared to non-smokers

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And it notes that e-cigarette use has been shown to increase heart rate, blood pressure and platelet activation, and decrease flow-mediated dilation and heart rate variability, effects that suggest long-term cardiovascular risk