People who vape had worrisome changes in cardiovascular function, even as young adults American Heart Association Let's Get Real About Vaping 8 Reasons Why You Shouldn't Start Smoking triggers an immediate, temporary spike in blood pressure and damages artery walls. While the direct, long term link to chronic hypertension is complex and debated, smoking heavily accelerates plaque buildup, narrows blood Tobacco Induced Diseases Keyword hypertensive smokers