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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.<\/jats:p>","DOI":"10.1515\/ijamh-2014-0026","type":"journal-article","created":{"date-parts":[[2014,8,12]],"date-time":"2014-08-12T04:07:02Z","timestamp":1407816422000},"page":"353-356","source":"Crossref","is-referenced-by-count":1,"title":["Atrial fibrillation in a healthy adolescent after heavy smoking of contraband cigarettes"],"prefix":"10.1515","volume":"27","author":[{"given":"Isa","family":"Ozyilmaz","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sinem","family":"Ozyilmaz","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oyku","family":"Tosun","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasan Tahsin","family":"Tola","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murat","family":"Saygi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yakup","family":"Ergul","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2014,8,12]]},"reference":[{"key":"2025112800232493351_j_ijamh-2014-0026_ref_001_w2aab2b8c27b1b7b1ab2ab1Aa","doi-asserted-by":"crossref","unstructured":"Nanthakumar K, Lau YR, Plumb VJ. 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