BMJ Case Reports 2013; doi:10.1136/bcr-2013-009526

Syncope associated with water pipe smoking

  1. Suha Turkmen
  1. Department of Emergency Medicine, Medicine Faculty, Karadeniz Technical University, Trabzon, Turkey
  1. Correspondence to Dr Yunus Karaca, yunuskaraca52{at}


The water pipe (narghile) in particular is widely used in the Arabian Peninsula and the Turkish world, and has also recently become an increasingly popular way of consuming tobacco in Europe. Contrary to popular belief, it contains more tar, carbon monoxide (CO) and toxic gases than cigarettes. This report describes a patient presenting to the emergency department with syncope as a result of water pipe use, with tests revealing toxically high CO levels.

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