Electronic Cigarettes—A Narrative Review for Clinicians

Am J Med. 2015 Jul;128(7):674-81. doi: 10.1016/j.amjmed.2015.01.033. Epub 2015 Feb 27.

Abstract

Electronic cigarettes (e-cigarettes) were introduced into the US market in 2007 and have quickly become a popular source of nicotine for many patients. They are designed to simulate smoking by heating a nicotine-containing solution producing an aerosol that the user inhales. The short- and long-term effects of e-cigarette use are still unclear, but their use is increasing. Some acute effects of e-cigarettes on heart rate, blood pressure, and airway resistance are reported. Although there are some reports of improved cessation in a subset of users, there are also studies reporting decreased cessation in dual users of regular and e-cigarettes. Additionally, there is no current regulation of these devices, and this allows virtually anyone with a form of online payment to obtain them.

Keywords: Electronic cigarettes; Nicotine; Toxicity; Use patterns.

Publication types

  • Review

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Electronic Nicotine Delivery Systems / adverse effects
  • Electronic Nicotine Delivery Systems / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Narration
  • Needs Assessment
  • Nicotine / adverse effects*
  • Practice Patterns, Physicians' / standards
  • Practice Patterns, Physicians' / trends
  • Risk Factors
  • Safety Management
  • Smoking / adverse effects*
  • Smoking / epidemiology
  • Smoking Cessation / methods*
  • Smoking Cessation / statistics & numerical data
  • Tobacco Industry
  • United States

Substances

  • Nicotine