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In this longitudinal study, approximately 32,000 American adults were followed for a period of 6 years (20132019) to assess the risk of cardiovascular diseases (heart attack, stroke, heart failure) in smokers compared to non-smokers, exclusive e-cigarette users, and dual users (tobacco and e-cigarette)

However, compared to smokers in many other countries, Americans have shown a greater willingness to try smoke-free products, driven in part by more accessible and affordable offerings, plus the aging population

Maxim moved from the USA to the UK at the age of 41 and became a British subject in 1899

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