Exclusive E cigarette Use Significantly Associated with COPD RT Association of electronic cigarette use and risk of COPD: a systematic review and meta analysis npj Primary Care Respiratory Medicine Association of electronic cigarette use and risk of COPD: a systematic review and meta analysis npj Primary Care Respiratory Medicine Smoking cigarettes has long been proven to cause severe lung damage, including chronic obstructive pulmonary disease (COPD), emphysema, and lung cancer. Over time, cigarette smoke destroys lung tissue, fills airways with tar, E Cigarettes May Cause COPD. Here's Why Prince Court Medical Centre National Emphysema Foundation E cigarettes and Vaping Just As Bad On Lung Health As Cigarettes