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Related Experiment Video

Updated: May 12, 2026

Cigarette Smoke Exposure in Mice using a Whole-Body Inhalation System

Cigarette Smoke Exposure in Mice using a Whole-Body Inhalation System

Published on: October 22, 2020

Syncope associated with water pipe smoking.

Yunus Karaca¹, Umut Eryigit, Nurhak Aksut

¹Department of Emergency Medicine, Medicine Faculty, Karadeniz Technical University, Trabzon, Turkey. yunuskaraca52@hotmail.com

BMJ Case Reports

|April 23, 2013

Summary

Water pipe smoking, also known as narghile, delivers more toxic gases like carbon monoxide than cigarettes. This case report details a patient who experienced syncope due to dangerously high carbon monoxide levels from narghile use.

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Area of Science:

Toxicology
Public Health
Respiratory Medicine

Background:

Water pipe (narghile) smoking is prevalent in the Arabian Peninsula and Turkish regions, with rising popularity in Europe.
Contrary to common perception, narghile smoking exposes users to higher levels of tar, carbon monoxide (CO), and other toxic gases compared to cigarettes.

Observation:

A patient presented to the emergency department with syncope (fainting).
The syncope was directly linked to recent water pipe tobacco consumption.

Findings:

Diagnostic tests confirmed toxically elevated carbon monoxide (CO) levels in the patient.
The CO poisoning was a direct consequence of the water pipe smoking session.

Implications:

Highlights the severe, underappreciated risks of water pipe smoking, including acute CO poisoning.
Underscores the need for increased awareness and public health interventions regarding the dangers of narghile use.
Emphasizes the importance of considering narghile as a cause of syncope and CO toxicity in clinical settings.