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Cannabis did diminish the lungs numbers of small fine airways, however, and also damaged the large airwaysblocking airflow and forcing the lungs to work harder

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Smokers of combustible cigarettes have worse myocardial function parameters and worse scores on the myocardial performance index after smoking a combustible cigarette.[34-36] However, e-cigarette users appear to have no change in myocardial function parameters or myocardial performance index scores immediately after e-cigarette use.[37] This suggests improved myocardial health for smokers of combustible cigarettes who switch completely to e-cigarettes, thereby providing another possible benefit of cardiovascular harm reduction