Hookah Smoking results to escalation in premature beats of the ventricles, which tend to be a leading risk factor that results to sudden cardiac death (SCA). Hookah smokers tend to be at high risk for cardiovascular diseases due to tobacco consumption from a hookah device. The primary objective of this research is to analyze immediate consequences of hookah smoking on ECG. A secondary aim is to compare changes that occur in ECG before and after hookah smoking. ECG changes powerfully predict future cardiovascular disorders (CVD) events. Twenty Male volunteers who are sound in health and are in the age bracket of 18-30 years were recruited for the study. The ECG of the subjects was recorded using a 3-lead electrocardiogram. From the lead to, PR interval, QRS (amplitude) and RR interval were recorded and heart rate was also determined, (P, Q, R and S are ECG signal's parts). Various changes observed in this study were results of persistent and terrible consequences of hookah smoking that may result into chronic CVD. These abnormalities could be identified with the help of a simple noninvasive tool by determining the wave amplitude and duration of ECG parameters.