Quitting at any age enhances quality of life and lengthens life expectancy
Step two is all about avoiding these triggers by changing your routines, turning to an alternative such as an e-cigarette rather than a cigarette, and working around those things that make you want to restart smoking until these cravings pass
A recent systematic review with GRADE assessment found that smoking cessation and, in more limited evidence, switching to exclusive e-cigarette use were associated with early improvements in pulse wave velocity, augmentation index, and flow-mediated dilation, changes that are biologically compatible with improved arterial compliance and reduced vascular tone, and thus may contribute to lower blood pressure, although overall certainty was low (moderate only for RCT evidence on flow-mediated dilation) [25]
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