title: Atrial fibrillation in a healthy adolescent after heavy smoking of contraband cigarettes.
abstract: The use of contraband cigarettes is a serious public health problem. We present a case of atrial fibrillation in a healthy adolescent suspected to be caused by smoking contraband cigarettes. A 15-year-old man was admitted to our emergency department experiencing syncope and palpitations. He was a cigarette smoker, but he had never smoked any illicit tobacco products before. He had finished a pack of counterfeit cigarettes (20 pieces) in 1.5 h. His electrocardiogram showed atrial fibrillation with a rapid ventricular response and irregular RR intervals. The patient had no history of alcohol use, surgery, palpitations, hypertension, chronic bronchitis, or any infectious diseases. His atrial fibrillation was converted to a normal sinus rhythm after the cardioversion treatment. Our patient was discharged from the pediatric cardiology service and advised to quit smoking cigarettes, strictly warning against illicit tobacco products. In conclusion, intensive smoking of counterfeit cigarettes may lead to occurrences of atrial fibrillation.
authors.forename: Isa
authors.initials: I
authors.lastname: Ozyilmaz
authors.forename: Sinem
authors.initials: S
authors.lastname: Ozyilmaz
authors.forename: Oyku
authors.initials: O
authors.lastname: Tosun
authors.forename: Hasan Tahsin
authors.initials: HT
authors.lastname: Tola
authors.forename: Murat
authors.initials: M
authors.lastname: Saygi
authors.forename: Yakup
authors.initials: Y
authors.lastname: Ergul
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D001281:Atrial Fibrillation / Q000209:etiology*; D004562:Electrocardiography; D006801:Humans; D013287:Illicit Drugs / Q000009:adverse effects; D008297:Male; D009538:Nicotine / Q000009:adverse effects*; D012907:Smoking / Q000009:adverse effects*; D016896:Treatment Outcome
chemical_list: D013287:Illicit Drugs; D009538:Nicotine