Syncope associated with water pipe smoking

Karaca, Yunus; Eryiğit, Umut; Aksut, Nurhak; Turkmen, Süha

doi:10.1136/bcr-2013-009526

Cited by 15 publications

(15 citation statements)

References 6 publications

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“…CO is the predominant noxious gas in tobacco smoke with a much greater binding affinity for haemoglobin than that of oxygen. CO intoxication is very prevalent in metabolically active organs as the heart and brain (7,10).…”

Section: Introductionmentioning

confidence: 99%

Higher prevalence of water pipe compared to cigarette smoking among medical students in Southeast Iran

Miri-Moghaddam¹,

Sheikhi²,

Nasseri³

et al. 2019

Cent Eur J Public Health

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Objectives: Smoking of water pipe (WP) and cigarettes has recently turned into a major global health burden. The present study aimed at assessing WP and cigarette smoking among Zahedan University of Medical Sciences (ZUMS) students in Iran. Methods: A cross-sectional survey was conducted on 500 students in ZUMS (182 males, 318 females). The subjects were selected through randomized cluster sampling. Morgan's chart was applied to calculate the sample size; 96.6% of the attendees completed a questionnaire designed to address the aims of the study. Results: The mean age of the subjects was 21.2 ± 2.4 years. WP and cigarette smoker rates were at 31.2% and 15.2%, respectively. The age of smoking initiation ranged between 15 and 20 years. Friends played crucial roles in triggering the smoking in both groups of WP and cigarette smokers (78% and 54%, respectively). The main reasons for WP and cigarette smoking were entertainment followed by curiosity. Furthermore, males used more cigarette (26.5 vs. 8.7%) and WP (50.6 vs. 20.4%) than females. Among father and mother smokers, respectively, 54.2% and 60% of children were also WP smokers (p = 0.001). Also, 21.9% and 60% of children smoking cigarettes had father and mother smokers, respectively (p = 0.05). Conclusion: Tobacco use, especially for WP seems to be at alarming rates among medical students in Iran. It is highly recommended to control the progressive prevalence of WP smoking by governmental/academic preventive measures as educational and smoking cessation activities.

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Section: Introductionmentioning

confidence: 99%

Higher prevalence of water pipe compared to cigarette smoking among medical students in Southeast Iran

Miri-Moghaddam¹,

Sheikhi²,

Nasseri³

et al. 2019

Cent Eur J Public Health

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“…In heavy cigarette smokers, COHb up to 10% have been observed, which is in the range of our case report. Secondary polycythaemia and patients presenting with syncope to the emergency ward have been described as manifestation of CO poisoning from water-pipe smoking 12 13…”

Section: Discussionmentioning

confidence: 99%

When water does not clear the smut from the smoke

2013

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SUMMARYWater-pipe (shisha) smoking is increasingly popular among young people in Europe and North America. The proponents claim that smoking water-pipe is much 'cleaner' than cigarettes. Although, a recent analysis of toxicant yields during 1-2 h water-pipe smoking resulted comparable to 100-200 cigarettes. We report a case of a 25-year-old patient with elevated haemoglobin, impaired concentration and reduced physical performance. Molecular investigations for JAK2 mutations and BCR-ABL fusion transcripts were negative and the arterial blood gas analysis revealed an elevated carboxyhaemoglobin of 6.1%. In a follow-up visit, the patient disclosed excessive shisha smoking. Secondary polycythaemia was diagnosed caused by chronic carbon monoxide poisoning. After cessation of shisha smoking all blood values returned to normal ranges within 6 weeks. Owing to the increasing popularity of waterpipe smoking and the anticipated health risks, our report should help to enhance awareness and advocate more information in tobacco prevention programmes on its potential toxicities. BACKGROUND

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“…Connected to the upper part of the bottle is the pipe, where the smoker draws on the mixture of tobacco and charcoal smoke (5). Although, it is believed that all toxic substances are filtrated during the passage through the water; in fact, only a small part of the toxins are filtrated (1). Tobacco consumption with a water pipe causes higher blood concentration of carcinogenic substances, CO, nicotine, and tar than that with cigarette smoking (3).…”

Section: Discussionmentioning

confidence: 99%

Carbon Monoxide Poisoning Due to Water Pipe Smoking: Case Series

Koçak¹,

Akbaş²,

Çakır³

2017

J Emerg Med Case Rep

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Case 1. An 18-year-old male patient, who complained of syncope, was brought to the emergency department by ambulance and admitted. The patient, who had a normal medical history, had not experienced syncope previously. He was not a smoker. For three hours, he sat with his friends in a cafe, where people smoked a water pipe, but he did not. He stated that he had a headache and felt dizzy after he left the cafe, and he could not remember what happened afterwards. People who witnessed the incident stated that he had fainted for approximately 4 to 5 minutes, but he had not displayed spasms or symptoms of an epileptic seizure. His vital measurements were normal at admission, and his Glasgow Coma Scale (GCS) score was 15. He was

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Syncope associated with water pipe smoking

Cited by 15 publications

References 6 publications

Higher prevalence of water pipe compared to cigarette smoking among medical students in Southeast Iran

Higher prevalence of water pipe compared to cigarette smoking among medical students in Southeast Iran

When water does not clear the smut from the smoke

Carbon Monoxide Poisoning Due to Water Pipe Smoking: Case Series

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