E cigarettes and vapes Vapes are less harmful than cigarettes, but they are not harmless and the long term health risks are unknown. Nicotine raises blood pressure and increases the heart rate, which can increase the risk Clear' Vapes May Have Even Worse Health Effects MedPage Today E Cigarettes, Vapes, and other Electronic Nicotine Delivery Systems (ENDS) FDA How have e cigarettes changed over time? Bigger, stronger, and cheaper: Disposable e cigarettes have more nicotine and are more accessible than ever