Do nicotine pouches affect the heart?

Could you elaborate on the potential impact of nicotine pouches on heart health? Are there any studies or research that indicate a direct LINK between their use and heart-related issues? Are there any specific health concerns that arise from the use of nicotine pouches, and how do they compare to other nicotine-containing products like cigarettes or e-cigarettes? It's important to understand the full scope of potential risks associated with nicotine pouches to make informed decisions about their use.