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Cigar smoke is denser, richer, and contains more compounds, which makes it a lot harsher to inhale

(1991) International conference: priorities for indoor air research and action
In addition, the odds of stroke in e-cigarette users did not differ significantly compared to non-users, with an AOR (95% CI) of 1.44 (0.922.24)

They say he will probably wake up someday but it may take a couple years