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Unexpected Arrhythmia in a Young Patient: Hookah Smoking Triggered Atrial Fibrillation

Year 2021, Volume: 2 Issue: 2, 132 - 135, 05.05.2021
https://doi.org/10.47482/acmr.2021.27

Abstract

In the current literature, although it has been known that hookah smoking increases the heart rate and predisposes to arrhythmia, no case report has been published regarding hookah smoking and the development of arrhythmia, including atrial fibrillation (AF). In this case report, we presented an adult patient without known cardiovascular disease who experienced AF after a heavy hookah smoking session. Following IV amiodarone infusion, normal sinus rhythm was achieved. The patient was advised to stop hookah smoking and discharged with a beta-blocker therapy and an oral anticoagulant treatment for 3 weeks. The patient’s rhythm was normal at one-month outpatient visit. This case emphasizes that hookah smoking could not be considered as a less harmful alternative to cigarette smoking because of its’ apparent side effects to the cardiovascular system.

References

  • 1. Shihadeh A, Saleh R. Polycyclic aromatic hydrocarbons, carbon monoxide, “tar”, and nicotine in the mainstream smoke aerosol of the narghile waterpipe. Food Chem Toxicol. 2005;43:655–61.
  • 2. Schubert J, Hahn J, Dettbarn G, Seidel A, Luch A, Schulz TG. Mainstream smoke of the waterpipe: does this environmental matrix reveal as significant source of toxic compounds? Toxicol Lett. 2011;205:279-84.
  • 3. Shihadeh A. Investigation of mainstream smoke aerosol of the argileh waterpipe. Food Chem Toxicol. 2003; 41:143–52.
  • 4. Jacob P 3rd, Abu Raddaha AH, Dempsey D, Havel C, Peng M, Yu L, et al. Nicotine, carbon monoxide, and carcinogen exposure after a single use of a water pipe. Cancer Epidemiol Biomarkers Prev. 2011;20:2345-53.
  • 5. Shihadeh A, Salman R, Jaroudi E, Saliba N, Sepetdjian E, Blank MD, et al. Does switching to a tobacco-free waterpipe product reduce toxicant intake? A crossover study comparing CO, NO, PAH, volatile aldehydes, “tar” and nicotine yields. Food Chem Toxicol. 2012;50:1494-8.
  • 6. El-Nachef W, Hammond S. Exhaled carbon monoxide with waterpipe use in us students. JAMA. 2008;299:36–8.
  • 7. Elsayed Y, Dalibalta S, Abu-Farha N. Chemical analysis and potential health risks of hookah charcoal. Sci Total Environ. 2016;569-570:262–8.
  • 8. Jaquet FS, Shapiro D, Uijtdehaage SHJ. The acute effects of smoking on heart rate and blood pressure: an ambulatory study. Hum Psychopharmacol Clin Exp. 1994;9:273–83.
  • 9. Al-Safi SA. Does smoking affect blood pressure and heart rate? Eur J Cardiovasc Nurs. 2005;4:286–9.
  • 10. Quillen JE, Rossen JD, Oskarsson HJ, Minor RL Jr, Lopez AG, Winniford MD. Acute effect of cigarette smoking on the coronary circulation: constriction of epicardial and resistance vessels. J Am Coll Cardiol. 1993;22:642-7.
Year 2021, Volume: 2 Issue: 2, 132 - 135, 05.05.2021
https://doi.org/10.47482/acmr.2021.27

Abstract

References

  • 1. Shihadeh A, Saleh R. Polycyclic aromatic hydrocarbons, carbon monoxide, “tar”, and nicotine in the mainstream smoke aerosol of the narghile waterpipe. Food Chem Toxicol. 2005;43:655–61.
  • 2. Schubert J, Hahn J, Dettbarn G, Seidel A, Luch A, Schulz TG. Mainstream smoke of the waterpipe: does this environmental matrix reveal as significant source of toxic compounds? Toxicol Lett. 2011;205:279-84.
  • 3. Shihadeh A. Investigation of mainstream smoke aerosol of the argileh waterpipe. Food Chem Toxicol. 2003; 41:143–52.
  • 4. Jacob P 3rd, Abu Raddaha AH, Dempsey D, Havel C, Peng M, Yu L, et al. Nicotine, carbon monoxide, and carcinogen exposure after a single use of a water pipe. Cancer Epidemiol Biomarkers Prev. 2011;20:2345-53.
  • 5. Shihadeh A, Salman R, Jaroudi E, Saliba N, Sepetdjian E, Blank MD, et al. Does switching to a tobacco-free waterpipe product reduce toxicant intake? A crossover study comparing CO, NO, PAH, volatile aldehydes, “tar” and nicotine yields. Food Chem Toxicol. 2012;50:1494-8.
  • 6. El-Nachef W, Hammond S. Exhaled carbon monoxide with waterpipe use in us students. JAMA. 2008;299:36–8.
  • 7. Elsayed Y, Dalibalta S, Abu-Farha N. Chemical analysis and potential health risks of hookah charcoal. Sci Total Environ. 2016;569-570:262–8.
  • 8. Jaquet FS, Shapiro D, Uijtdehaage SHJ. The acute effects of smoking on heart rate and blood pressure: an ambulatory study. Hum Psychopharmacol Clin Exp. 1994;9:273–83.
  • 9. Al-Safi SA. Does smoking affect blood pressure and heart rate? Eur J Cardiovasc Nurs. 2005;4:286–9.
  • 10. Quillen JE, Rossen JD, Oskarsson HJ, Minor RL Jr, Lopez AG, Winniford MD. Acute effect of cigarette smoking on the coronary circulation: constriction of epicardial and resistance vessels. J Am Coll Cardiol. 1993;22:642-7.
There are 10 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section CASE REPORTS
Authors

Muhammed Keskin 0000-0002-4938-0097

Tufan Çınar 0000-0001-8188-5020

Murat Selçuk 0000-0002-6386-0142

Selami Doğan 0000-0003-1170-4567

Vedat Çiçek This is me 0000-0002-3763-0570

Ahmet Lütfullah Orhan 0000-0002-8617-3281

Publication Date May 5, 2021
Submission Date January 29, 2021
Published in Issue Year 2021 Volume: 2 Issue: 2

Cite

APA Keskin, M., Çınar, T., Selçuk, M., Doğan, S., et al. (2021). Unexpected Arrhythmia in a Young Patient: Hookah Smoking Triggered Atrial Fibrillation. Archives of Current Medical Research, 2(2), 132-135. https://doi.org/10.47482/acmr.2021.27

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