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These disorders can include: Lack of coronary artery blood flow, depriving oxygen to heart tissue Cardiomyopathy, distorting the hearts structure Medication side effects Use of illegal drugs such as cocaine or methamphetamine Sarcoidosis, an inflammatory disease affecting skin or body tissues Abnormalities of the heart that result in scarring of heart tissue, sometimes called structural heart disease

Vaping products had not been introduced at the time these study participants were teens, but it is plausible that the findings may relate to vaping as well, since both addiction to nicotine and the adverse effects of nicotine on the developing brain in youth are relevant to these nicotine delivery devices as well, Robertson said.

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Puffing on the product 200 times per day would provide the equivalent of 13-30 cigarettes, depending on the length of each puff