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This effect is hazardous for individuals with pre-existing heart conditions, as it raises the likelihood of complications such as arrhythmias, hypertension, and even heart failure

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Almost five years later, e-cigarettes (along with similar devices called vape pens or hookah pens that can be used to ingest nicotine) are still exempt from FDA oversight

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But North Carolina Public Health officials say that number is actually much higher, with 28.8 percent of high school students in the state using some form of tobacco product