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In general, exposure to pollutants induces pulmonary inflammation through the generation of oxidative stress 12,13 , defined as the imbalance in reactive oxygen species production, to the detriment of the antioxidant defence systems 14

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To note, some studies have suggested that individuals with a history of hypertension who used combustible tobacco products exhibited a notable reduction in systolic blood pressure (SBP) and diastolic blood pressure (DBP) when they switched to ENDS [79]

Cigarette smoke presents a different challenge, as it leaves behind an embedded chemical compound smell