Are electronic cigarettes any safer for your PVD patient than traditional cigarettes? I would tend to say "no," but that is based on a host of prejudices I have against the habit. But I decided to see what the literature says about this one.
This same up when I encountered an amputee with an e-cig and struck up a conversation. He had almost completely stopped using regular tobacco products. I later spoke with his physician and he backed the patient up. The doctor did, indeed, promote the use of the e-cig for his patients.
I haven't yet found any literature addressing PVD and e-cigs but I did find a study that was presented in 2012 at the European Society of Cardiology that reported that the electronic cigarettes do not damage the heart. That is a big claim. If you aren't familiar with them, they consist of a rechargable battery, a replaceable cartridge that holds liquid, a heating element that evaporates that liquid (producing the vapor that appears to be smoke), The power that they pack is the nicotine in the liquid, along with some other carrier agents and flavorings and preservatives.
The study at the ESCd was done by examining myocardial function using echocardiography, blood pressure and heart rate. Researchers noted that smoking one traditional cigarette led to "significant acute myocardial dysfunction" but electronic cigarettes had no acute adverse effects. Tobacco produced important hemodynamic consequences, increases in systolic and diastolic pressures and heart rate. The e-cigarette produced only a slight elevation in diastolic pressure. They noted that the nicotine in the e-cig was absorbed at a lower rate than the traditional.
That's all very interesting and time, and studies, will show more. Some healthcare providers have even said that the e-cig may help the poor to cut down on tobacco use. Why? The cost.
Currently, and probably ONLY currently, the states haven't come up with a formula for taxing them but they will. In California, a carton of 20 packs of cigarettes, name brand, can cost over $50. The number of cartridges equalling 20 packs can cost between $5 and $10. The reason? No big tobacco tax.
In America, cig taxes range from a high in NY at $4.35 per package to a measly 30 cents in tobacco producing Virginia. Most are in the $1-3 range. That's a lot of tax dollars lost and they could be going toward helping smokers with heart disease.....er, I mean, well, what if the rate of heart disease goes down with e-cigs. Hmm, a very tangled situation indeed.
State cigarette tax rates from Ask.com
|Excise Tax Per Pack (USD)||State/Territory|
|1.18 (1.31 effective 1/1/14)||Oregon|
|2.50||District of Columbia|
|1.75||Northern Marianas Islands|
|1.78||U.S. Virgin Islands|
Some cities add onto this amount per pack, including NYC and Anchorage Alaska among others.
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