Cyrus K. Yamin, BS; Asaf Bitton, MD, MPH; David W. Bates, MD, MSc
Acknowledgment: The authors thank Jack Henningfield, Adam Wright, and Ayal Bitton for feedback on earlier versions of this manuscript.
Potential Conflicts of Interest: None disclosed. Forms can be be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M10-1447.
Corresponding Author: David W. Bates, MD, MSc, Division of General Medicine, Brigham and Women's Hospital, 1620 Tremont Street, Boston, MA 02120-1613; e-mail, firstname.lastname@example.org.
Current Author Addresses: Mr. Yamin and Drs. Bitton and Bates: Division of General Medicine, Brigham and Women's Hospital, 1620 Tremont Street, Boston, MA 02120-1613.
Author Contributions: Conception and design: C.K. Yamin, A. Bitton, D.W. Bates.
Analysis and interpretation of the data: C.K. Yamin, A. Bitton.
Drafting of the article: C.K. Yamin, A. Bitton, D.W. Bates.
Critical revision of the article for important intellectual content: C.K. Yamin, A. Bitton, D.W. Bates.
Final approval of the article: C.K. Yamin, A. Bitton, D.W. Bates.
Administrative, technical, or logistic support: A. Bitton, D.W. Bates.
Collection and assembly of data: C.K. Yamin, A. Bitton.
Yamin CK, Bitton A, Bates DW. E-Cigarettes: A Rapidly Growing Internet Phenomenon. Ann Intern Med. 2010;153:607-609. doi: 10.7326/0003-4819-153-9-201011020-00011
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Published: Ann Intern Med. 2010;153(9):607-609.
Electronic cigarettes (e-cigarettes) aerosolize nicotine and produce a vapor that emulates that of cigarettes but purportedly has fewer traditional toxins than secondhand smoke. Although e-cigarettes are widely sold online and by retailers, new research suggests that they may contain unexpected toxins and may provide unreliable nicotine delivery. Many countries have already banned or strictly regulated e-cigarettes. Currently in the United States, e-cigarettes are exempt from regulation as drug-delivery devices. Meanwhile, the presence of e-cigarettes on the Internet, including in Web searches, virtual user communities, and online stores where people sell e-cigarettes on commission, is increasing rapidly. Physicians should be aware of the popularity, questionable efficacy claims, and safety concerns of e-cigarettes so that they may counsel patients against use and advocate for research to inform an evidence-based regulatory approach.
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Cardiology, Coronary Risk Factors, Smoking.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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