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[1, 2] Following resolution of the patent dispute, in March 2025, Philip Morris International reintroduced their iQOS products first in Austin, TX at pop-up stores, mobile units, and bars, where IQOS coaches would promote the product and teach consumers how to use it, later also expanding to sell HEETS, the heated tobacco sticks used in iQOS devices, in convenience stores including 7-Eleven, Circle K, and Murphy USA

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Cardiovascular researchers point out that even a single premium cigar can trigger acute effects similar to a cigarette session, because your heart and blood vessels respond to the smoke regardless of the ritual wrapped around it

Other studies have found a link between marijuana use and atrial fibrillation, a common heart rhythm disorder