{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T16:47:04Z","timestamp":1789058824356,"version":"build-2803163510"},"reference-count":60,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000968","name":"American Heart Association Inc","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000968","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpeds.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Pediatrics"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.jpeds.2026.115183","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T15:19:45Z","timestamp":1780327185000},"page":"115183","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Increased Risk of Heart Rhythm Abnormalities in Adolescents and Young Adults Who Vape"],"prefix":"10.1016","volume":"296","author":[{"given":"Athanasios","family":"Tsalatsanis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joyce","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Obada","family":"Abou-Assali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shone","family":"Almeida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Racha","family":"Khalaf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sami F.","family":"Noujaim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpeds.2026.115183_bib1","doi-asserted-by":"crossref","first-page":"774","DOI":"10.15585\/mmwr.mm7335a3","article-title":"Notes from the field: E-cigarette and nicotine pouch use among middle and high school students\u2014United States, 2024","volume":"73","author":"Park-Lee","year":"2024","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"10.1016\/j.jpeds.2026.115183_bib2","doi-asserted-by":"crossref","first-page":"917","DOI":"10.15585\/mmwr.mm7341a2","article-title":"Tobacco product use among middle and high school students\u2014National Youth Tobacco Survey, United States, 2024","volume":"73","author":"Jamal","year":"2024","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"10.1016\/j.jpeds.2026.115183_bib3","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph19148747","article-title":"Adolescents, young adults, and adults continue to use E-cigarette devices and flavors two years after FDA discretionary enforcement","volume":"19","author":"McCauley","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.jpeds.2026.115183_bib4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.ss7105a1","article-title":"Tobacco product use and associated factors among middle and high school students\u2014National Youth Tobacco Survey, United States, 2021","volume":"71","author":"Gentzke","year":"2022","journal-title":"MMWR Surveill Summ"},{"key":"10.1016\/j.jpeds.2026.115183_bib5","doi-asserted-by":"crossref","DOI":"10.1016\/j.addbeh.2021.107168","article-title":"Preferred flavors and tobacco use patterns in adult dual users of cigarettes and ENDS","volume":"125","author":"Rest","year":"2022","journal-title":"Addict Behav"},{"key":"10.1016\/j.jpeds.2026.115183_bib6","doi-asserted-by":"crossref","first-page":"1573","DOI":"10.1056\/NEJMc2033943","article-title":"Disposable E-cigarette use among U.S. youth\u2014an emerging public health challenge","volume":"384","author":"Wang","year":"2021","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jpeds.2026.115183_bib7","doi-asserted-by":"crossref","first-page":"2130","DOI":"10.1007\/s11606-020-05813-2","article-title":"EVALI and the pulmonary toxicity of electronic cigarettes: a review","volume":"35","author":"Winnicka","year":"2020","journal-title":"J Gen Intern Med"},{"key":"10.1016\/j.jpeds.2026.115183_bib8","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1080\/10408444.2022.2082918","article-title":"E-cigarette vaping associated acute lung injury (EVALI): state of science and future research needs","volume":"52","author":"Marrocco","year":"2022","journal-title":"Crit Rev Toxicol"},{"key":"10.1016\/j.jpeds.2026.115183_bib9","doi-asserted-by":"crossref","first-page":"1589","DOI":"10.1056\/NEJMoa1915314","article-title":"Hospitalizations and deaths associated with EVALI","volume":"382","author":"Werner","year":"2020","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jpeds.2026.115183_bib10","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1055\/a-2161-0105","article-title":"E-cigarette use-associated lung injury (EVALI)","volume":"78","author":"Tituana","year":"2024","journal-title":"Pneumologie"},{"key":"10.1016\/j.jpeds.2026.115183_bib11","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1016\/S2213-2600(19)30415-1","article-title":"E-cigarette, or vaping, product use associated lung injury (EVALI): case series and diagnostic approach","volume":"7","author":"Kalininskiy","year":"2019","journal-title":"Lancet Respir Med"},{"key":"10.1016\/j.jpeds.2026.115183_bib12","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1146\/annurev-physiol-061121-040014","article-title":"Vaping and lung inflammation and injury","volume":"84","author":"Park","year":"2022","journal-title":"Annu Rev Physiol"},{"key":"10.1016\/j.jpeds.2026.115183_bib13","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1161\/CIR.0000000000001160","article-title":"Cardiopulmonary impact of electronic cigarettes and vaping products: a scientific statement from the American Heart Association","volume":"148","author":"Rose","year":"2023","journal-title":"Circulation"},{"key":"10.1016\/j.jpeds.2026.115183_bib14","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1161\/CIRCULATIONAHA.121.056777","article-title":"E-cigarettes and cardiopulmonary health: review for Clinicians","volume":"145","author":"Neczypor","year":"2022","journal-title":"Circulation"},{"key":"10.1016\/j.jpeds.2026.115183_bib15","series-title":"Reports of the Surgeon General. The health consequences of smoking\u201450 years of progress: a report of the surgeon general","year":"2014"},{"key":"10.1016\/j.jpeds.2026.115183_bib16","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.ijcard.2011.10.140","article-title":"Effects of active and passive tobacco cigarette smoking on heart rate variability","volume":"163","author":"Dinas","year":"2013","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.jpeds.2026.115183_bib17","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1177\/1741826711411738","article-title":"Nicotine, cigarette smoking and cardiac arrhythmia: an overview","volume":"19","author":"D'Alessandro","year":"2012","journal-title":"Eur J Prev Cardiol"},{"key":"10.1016\/j.jpeds.2026.115183_bib18","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1097\/01.fjc.0000205984.13395.9e","article-title":"Nicotine effect on cardiovascular system and ion channels","volume":"47","author":"Hanna","year":"2006","journal-title":"J Cardiovasc Pharmacol"},{"key":"10.1016\/j.jpeds.2026.115183_bib19","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1007\/BF00053022","article-title":"Nicotine and sympathetic neurotransmission","volume":"10","author":"Haass","year":"1997","journal-title":"Cardiovasc Drugs Ther"},{"key":"10.1016\/j.jpeds.2026.115183_bib20","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1016\/S0002-8703(76)80536-4","article-title":"The effects of smoking on myocardial conduction in the human heart","volume":"91","author":"Bekheit","year":"1976","journal-title":"Am Heart J"},{"key":"10.1016\/j.jpeds.2026.115183_bib21","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1006\/pmed.1997.0175","article-title":"The role of nicotine in smoking-related cardiovascular disease","volume":"26","author":"Benowitz","year":"1997","journal-title":"Prev Med"},{"key":"10.1016\/j.jpeds.2026.115183_bib22","doi-asserted-by":"crossref","first-page":"2157","DOI":"10.1093\/cvr\/cvad113","article-title":"E-cigarettes and arrhythmogenesis: a comprehensive review of pre-clinical studies and their clinical implications","volume":"119","author":"Jones","year":"2023","journal-title":"Cardiovasc Res"},{"key":"10.1016\/j.jpeds.2026.115183_bib23","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1093\/cvr\/cvz256","article-title":"Cardiovascular risk of electronic cigarettes: a review of preclinical and clinical studies","volume":"116","author":"Buchanan","year":"2019","journal-title":"Cardiovasc Res"},{"key":"10.1016\/j.jpeds.2026.115183_bib24","doi-asserted-by":"crossref","first-page":"H2112","DOI":"10.1152\/ajpheart.00997.2020","article-title":"Long-term electronic cigarette exposure induces cardiovascular dysfunction similar to tobacco cigarettes: role of nicotine and exposure duration","volume":"320","author":"El-Mahdy","year":"2021","journal-title":"Am J Physiol Heart Circ Physiol"},{"key":"10.1016\/j.jpeds.2026.115183_bib25","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1001\/jamacardio.2016.5303","article-title":"Increased cardiac sympathetic activity and oxidative stress in habitual electronic cigarette users: implications for cardiovascular risk","volume":"2","author":"Moheimani","year":"2017","journal-title":"JAMA Cardiol"},{"key":"10.1016\/j.jpeds.2026.115183_bib26","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.1161\/HYPERTENSIONAHA.119.14608","article-title":"Effects of chronic nicotine inhalation on systemic and pulmonary blood pressure and right ventricular remodeling in mice","volume":"75","author":"Oakes","year":"2020","journal-title":"Hypertension"},{"key":"10.1016\/j.jpeds.2026.115183_bib27","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1161\/CIRCULATIONAHA.121.057613","article-title":"e-Cigarette aerosol reduces left ventricular function in adolescent mice","volume":"145","author":"Neczypor","year":"2022","journal-title":"Circulation"},{"key":"10.1016\/j.jpeds.2026.115183_bib28","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-024-81398-8","article-title":"Impact of electronic cigarette vaping on the cardiovascular function in young and old rats","volume":"14","author":"Dai","year":"2024","journal-title":"Sci Rep"},{"key":"10.1016\/j.jpeds.2026.115183_bib29","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.hrthm.2022.09.021","article-title":"Increased vulnerability to atrial and ventricular arrhythmias caused by different types of inhaled tobacco or marijuana products","volume":"20","author":"Qiu","year":"2023","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.jpeds.2026.115183_bib30","doi-asserted-by":"crossref","first-page":"H133","DOI":"10.1152\/ajpheart.00283.2020","article-title":"In vitro and in vivo cardiac toxicity of flavored electronic nicotine delivery systems","volume":"320","author":"Abouassali","year":"2021","journal-title":"Am J Physiol Heart Circ Physiol"},{"key":"10.1016\/j.jpeds.2026.115183_bib31","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1093\/ntr\/ntad237","article-title":"Nicotine formulation influences the autonomic and arrhythmogenic effects of electronic cigarettes","volume":"26","author":"Kucera","year":"2024","journal-title":"Nicotine Tob Res"},{"key":"10.1016\/j.jpeds.2026.115183_bib32","doi-asserted-by":"crossref","DOI":"10.1016\/j.taap.2024.117174","article-title":"Electronic cigarettes alter cardiac rhythm and heart rate variability hyperacutely in mice","volume":"495","author":"Castellanos","year":"2025","journal-title":"Toxicol Appl Pharmacol"},{"key":"10.1016\/j.jpeds.2026.115183_bib33","doi-asserted-by":"crossref","first-page":"6088","DOI":"10.1038\/s41467-022-33203-1","article-title":"E-cigarettes and their lone constituents induce cardiac arrhythmia and conduction defects in mice","volume":"13","author":"Carll","year":"2022","journal-title":"Nat Commun"},{"key":"10.1016\/j.jpeds.2026.115183_bib34","doi-asserted-by":"crossref","first-page":"H1176","DOI":"10.1152\/ajpheart.00738.2019","article-title":"Tobacco and electronic cigarettes adversely impact ECG indexes of ventricular repolarization: implication for sudden death risk","volume":"318","author":"Ip","year":"2020","journal-title":"Am J Physiol Heart Circ Physiol"},{"key":"10.1016\/j.jpeds.2026.115183_bib35","doi-asserted-by":"crossref","first-page":"1793","DOI":"10.4314\/ahs.v20i4.33","article-title":"Acute effects of electronic cigarette smoking on ventricular repolarization in adults","volume":"20","author":"Demir","year":"2020","journal-title":"Afr Health Sci"},{"key":"10.1016\/j.jpeds.2026.115183_bib36","doi-asserted-by":"crossref","first-page":"3042","DOI":"10.1097\/MS9.0000000000001907","article-title":"A case report of vaping-associated sudden cardiac arrest in a young healthy patient","volume":"86","author":"Ahmed","year":"2024","journal-title":"Ann Med Surg (Lond)"},{"key":"10.1016\/j.jpeds.2026.115183_bib37","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.mayocp.2023.09.017","article-title":"Temporal association between vaping and risk of cardiac events","volume":"99","author":"Bains","year":"2024","journal-title":"Mayo Clin Proc"},{"key":"10.1016\/j.jpeds.2026.115183_bib38","doi-asserted-by":"crossref","first-page":"92","DOI":"10.5435\/JAAOS-D-24-00706","article-title":"Nontobacco nicotine dependence and rates of periprosthetic joint infection and other postoperative complications in shoulder arthroplasty: a retrospective analysis","volume":"33","author":"Lawand","year":"2025","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.jpeds.2026.115183_bib39","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1016\/j.ophtha.2024.11.008","article-title":"Risk of uveitis among E-cigarette users: a multi-institutional TriNetX study","volume":"132","author":"Hsu","year":"2025","journal-title":"Ophthalmology"},{"key":"10.1016\/j.jpeds.2026.115183_bib40","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.1113\/EP091715","article-title":"Circulating extracellular microvesicles associated with electronic cigarette use increase endothelial cell inflammation and reduce nitric oxide production","volume":"109","author":"Evanoff","year":"2024","journal-title":"Exp Physiol"},{"key":"10.1016\/j.jpeds.2026.115183_bib41","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1093\/ntr\/ntac019","article-title":"Comparable impairment of vascular endothelial function by a wide range of electronic nicotine delivery devices","volume":"24","author":"Rao","year":"2022","journal-title":"Nicotine Tob Res"},{"key":"10.1016\/j.jpeds.2026.115183_bib42","doi-asserted-by":"crossref","first-page":"H549","DOI":"10.1152\/ajpheart.00460.2021","article-title":"Electronic cigarette exposure causes vascular endothelial dysfunction due to NADPH oxidase activation and eNOS uncoupling","volume":"322","author":"El-Mahdy","year":"2022","journal-title":"Am J Physiol Heart Circ Physiol"},{"key":"10.1016\/j.jpeds.2026.115183_bib43","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-018-28723-0","article-title":"Differential effects of E-cigarette on microvascular endothelial function, arterial stiffness and oxidative stress: a randomized crossover trial","volume":"8","author":"Chaumont","year":"2018","journal-title":"Sci Rep"},{"key":"10.1016\/j.jpeds.2026.115183_bib44","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/j.chest.2019.10.008","article-title":"Severe acute toxicity of inhaled nicotine and e-cigarettes: seizures and cardiac arrhythmia","volume":"157","author":"Shao","year":"2020","journal-title":"Chest"},{"key":"10.1016\/j.jpeds.2026.115183_bib45","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1007\/s10286-020-00683-4","article-title":"Cardiovascular autonomic effects of electronic cigarette use: a systematic review","volume":"30","author":"Garcia","year":"2020","journal-title":"Clin Auton Res"},{"key":"10.1016\/j.jpeds.2026.115183_bib46","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.117.006579","article-title":"Sympathomimetic effects of acute E-cigarette use: role of nicotine and non-nicotine constituents","volume":"6","author":"Moheimani","year":"2017","journal-title":"J Am Heart Assoc"},{"issue":"11","key":"10.1016\/j.jpeds.2026.115183_bib47","article-title":"Flavoring agents in E-cigarette liquids: a comprehensive analysis of multiple health risks","volume":"15","author":"Sachdeva","year":"2023","journal-title":"Cureus"},{"key":"10.1016\/j.jpeds.2026.115183_bib48","doi-asserted-by":"crossref","DOI":"10.7554\/eLife.67621","article-title":"Effects of mango and mint pod-based e-cigarette aerosol inhalation on inflammatory states of the brain, lung, heart, and colon in mice","volume":"11","author":"Moshensky","year":"2022","journal-title":"Elife"},{"key":"10.1016\/j.jpeds.2026.115183_bib49","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1021\/acs.chemrestox.1c00328","article-title":"Electronic cigarette solvents, JUUL e-liquids, and biomarkers of exposure: in vivo evidence for acrolein and glycidol in E-cig-derived aerosols","volume":"35","author":"Lorkiewicz","year":"2022","journal-title":"Chem Res Toxicol"},{"key":"10.1016\/j.jpeds.2026.115183_bib50","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1007\/s12265-020-10060-1","article-title":"Biological toxicity of the compositions in electronic-cigarette on cardiovascular system","volume":"14","author":"Lai","year":"2021","journal-title":"J Cardiovasc Transl Res"},{"key":"10.1016\/j.jpeds.2026.115183_bib51","doi-asserted-by":"crossref","DOI":"10.3390\/toxics9120345","article-title":"Carbonyl composition and electrophilicity in vaping emissions of flavored and unflavored E-liquids","volume":"9","author":"Chen","year":"2021","journal-title":"Toxics"},{"key":"10.1016\/j.jpeds.2026.115183_bib52","doi-asserted-by":"crossref","first-page":"S25","DOI":"10.1093\/ntr\/ntaa185","article-title":"Chemical adducts of reactive flavor aldehydes formed in E-cigarette liquids are cytotoxic and inhibit mitochondrial function in respiratory epithelial cells","volume":"22","author":"Jabba","year":"2020","journal-title":"Nicotine Tob Res"},{"key":"10.1016\/j.jpeds.2026.115183_bib53","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0222152","article-title":"Effects of flavoring compounds used in electronic cigarette refill liquids on endothelial and vascular function","volume":"14","author":"Wolkart","year":"2019","journal-title":"PLoS One"},{"key":"10.1016\/j.jpeds.2026.115183_bib54","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1021\/acs.chemrestox.9b00171","article-title":"Common E-cigarette flavoring chemicals impair neutrophil phagocytosis and oxidative burst","volume":"32","author":"Hickman","year":"2019","journal-title":"Chem Res Toxicol"},{"key":"10.1016\/j.jpeds.2026.115183_bib55","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pbio.2003904","article-title":"Evaluation of e-liquid toxicity using an open-source high-throughput screening assay","volume":"16","author":"Sassano","year":"2018","journal-title":"Plos Biol"},{"key":"10.1016\/j.jpeds.2026.115183_bib56","doi-asserted-by":"crossref","DOI":"10.3389\/fphys.2017.01130","article-title":"Inflammatory and oxidative responses induced by exposure to commonly used e-cigarette flavoring chemicals and flavored e-Liquids without nicotine","volume":"8","author":"Muthumalage","year":"2018","journal-title":"Front Physiol"},{"key":"10.1016\/j.jpeds.2026.115183_bib57","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.1161\/ATVBAHA.118.311156","article-title":"Flavorings in tobacco products induce endothelial cell dysfunction","volume":"38","author":"Fetterman","year":"2018","journal-title":"Arterioscler Thromb Vasc Biol"},{"key":"10.1016\/j.jpeds.2026.115183_bib58","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.freeradbiomed.2018.03.020","article-title":"Effect of flavoring chemicals on free radical formation in electronic cigarette aerosols","volume":"120","author":"Bitzer","year":"2018","journal-title":"Free Radic Biol Med"},{"key":"10.1016\/j.jpeds.2026.115183_bib59","doi-asserted-by":"crossref","first-page":"13080","DOI":"10.1021\/acs.est.6b05145","article-title":"Flavoring compounds dominate toxic aldehyde production during E-cigarette vaping","volume":"50","author":"Khlystov","year":"2016","journal-title":"Environ Sci Technol"},{"key":"10.1016\/j.jpeds.2026.115183_bib60","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/j.hrthm.2025.09.006","article-title":"Oxidative stress mediates cardiac electrophysiological injury in inhalation exposure to flavored vaping products","volume":"23","author":"Abou-Assali","year":"2025","journal-title":"Heart Rhythm"}],"container-title":["The Journal of Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022347626002118?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022347626002118?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T20:24:52Z","timestamp":1787257492000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022347626002118"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":60,"alternative-id":["S0022347626002118"],"URL":"https:\/\/doi.org\/10.1016\/j.jpeds.2026.115183","relation":{},"ISSN":["0022-3476"],"issn-type":[{"value":"0022-3476","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Increased Risk of Heart Rhythm Abnormalities in Adolescents and Young Adults Who Vape","name":"articletitle","label":"Article Title"},{"value":"The Journal of Pediatrics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpeds.2026.115183","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"115183"}}