Cargando…
Marijuana as a Cause of Diffuse Coronary Vasospasm Leading to Cardiac Arrest
Marijuana is considered as the most popular illicit drug around the world. It has numerous cardiovascular effects with myocardial infarction (MI) being a lethal one. The negative physiological effects of marijuana are well-studied, including tachycardia, nausea, memory impairment, anxiety, panic, an...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10205149/ https://www.ncbi.nlm.nih.gov/pubmed/37228539 http://dx.doi.org/10.7759/cureus.38026 |
_version_ | 1785045974849159168 |
---|---|
author | Khan, Muhammad Atif Khan, Faiza Humayun Khan, Hina Benish Brabham, David |
author_facet | Khan, Muhammad Atif Khan, Faiza Humayun Khan, Hina Benish Brabham, David |
author_sort | Khan, Muhammad Atif |
collection | PubMed |
description | Marijuana is considered as the most popular illicit drug around the world. It has numerous cardiovascular effects with myocardial infarction (MI) being a lethal one. The negative physiological effects of marijuana are well-studied, including tachycardia, nausea, memory impairment, anxiety, panic, and arrhythmia. We present a case of cardiac arrest following marijuana use in a patient who had a normal electrocardiogram (EKG) on presentation but diffuse coronary vasospasm on left heart catheterization (LHC) with no obstructive lesion. The patient had a transient episode of ST elevation on EKG following the procedure which resolved with an increased dose of nitroglycerine drip. Synthetic cannabinoids are more potent and not detected on a regular urine drug screen (UDS). In patients with low risk for cardiovascular events, particularly young adults, presenting with symptoms of MI/cardiac arrest, marijuana-induced MI should be suspected due to the severe adverse effects of its synthetic component. |
format | Online Article Text |
id | pubmed-10205149 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-102051492023-05-24 Marijuana as a Cause of Diffuse Coronary Vasospasm Leading to Cardiac Arrest Khan, Muhammad Atif Khan, Faiza Humayun Khan, Hina Benish Brabham, David Cureus Cardiology Marijuana is considered as the most popular illicit drug around the world. It has numerous cardiovascular effects with myocardial infarction (MI) being a lethal one. The negative physiological effects of marijuana are well-studied, including tachycardia, nausea, memory impairment, anxiety, panic, and arrhythmia. We present a case of cardiac arrest following marijuana use in a patient who had a normal electrocardiogram (EKG) on presentation but diffuse coronary vasospasm on left heart catheterization (LHC) with no obstructive lesion. The patient had a transient episode of ST elevation on EKG following the procedure which resolved with an increased dose of nitroglycerine drip. Synthetic cannabinoids are more potent and not detected on a regular urine drug screen (UDS). In patients with low risk for cardiovascular events, particularly young adults, presenting with symptoms of MI/cardiac arrest, marijuana-induced MI should be suspected due to the severe adverse effects of its synthetic component. Cureus 2023-04-23 /pmc/articles/PMC10205149/ /pubmed/37228539 http://dx.doi.org/10.7759/cureus.38026 Text en Copyright © 2023, Khan et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiology Khan, Muhammad Atif Khan, Faiza Humayun Khan, Hina Benish Brabham, David Marijuana as a Cause of Diffuse Coronary Vasospasm Leading to Cardiac Arrest |
title | Marijuana as a Cause of Diffuse Coronary Vasospasm Leading to Cardiac Arrest |
title_full | Marijuana as a Cause of Diffuse Coronary Vasospasm Leading to Cardiac Arrest |
title_fullStr | Marijuana as a Cause of Diffuse Coronary Vasospasm Leading to Cardiac Arrest |
title_full_unstemmed | Marijuana as a Cause of Diffuse Coronary Vasospasm Leading to Cardiac Arrest |
title_short | Marijuana as a Cause of Diffuse Coronary Vasospasm Leading to Cardiac Arrest |
title_sort | marijuana as a cause of diffuse coronary vasospasm leading to cardiac arrest |
topic | Cardiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10205149/ https://www.ncbi.nlm.nih.gov/pubmed/37228539 http://dx.doi.org/10.7759/cureus.38026 |
work_keys_str_mv | AT khanmuhammadatif marijuanaasacauseofdiffusecoronaryvasospasmleadingtocardiacarrest AT khanfaizahumayun marijuanaasacauseofdiffusecoronaryvasospasmleadingtocardiacarrest AT khanhinabenish marijuanaasacauseofdiffusecoronaryvasospasmleadingtocardiacarrest AT brabhamdavid marijuanaasacauseofdiffusecoronaryvasospasmleadingtocardiacarrest |