To the Editor.
—Although the prevalence of cigar smoking had been declining since 1970, recently it has increased with a US consumption of 4.5 billion cigars in 1996.1 Cigar dinners are a "fashionable" forum in which cigar smoking is encouraged. In this report, we describe a patient who had a syncopal episode most likely attributable to the toxic effects of cigar smoke.
Report of a Case.
—A 61-year-old man was brought to the hospital by ambulance after a syncopal episode. He was at a crowded cigar dinner and had just finished smoking 2 cigars (Manifiesto Gran Reserva-Corona, 13.8 g; CAO-Robusto, 11.3 g). After beginning the third cigar (El Sublimato-Churchill), he developed light-headedness, diaphoresis, and nausea. He was in a confined space with a great deal of surrounding smoke and went outside the restaurant to "get fresh air." He lost consciousness (for approximately 12 minutes), only to reawaken in the
Reisdorff EJ, Miller MB, Theide R. Cigar Smoke Syncope. JAMA. 1997;278(21):1744. doi:10.1001/jama.1997.03550210042035