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Marijuana Lollipop-Induced Myocardial Infarction
Alexandra Saunders1, Robert S Stevenson2
1Dalhousie University Internal Medicine Program, Halifax (Saint John, New Brunswick site), Nova Scotia, Canada; Horizon Health Department of Cardiology, Saint John, New Brunswick, Canada.
The Canadian Journal of Cardiology
|February 15, 2019
Summary
Marijuana consumption, particularly edibles like lollipops, may trigger acute cardiac events such as myocardial infarction in individuals with pre-existing coronary artery disease. This case highlights potential cardiovascular risks associated with cannabis use.
Area of Science:
- Cardiology
- Pharmacology
Background:
- Coronary artery disease (CAD) is a significant health concern.
- The cardiovascular effects of marijuana (cannabis) are increasingly relevant with legalization.
Observation:
- A 70-year-old male with known CAD consumed a marijuana lollipop.
- Within 30 minutes, he experienced chest pain, diaphoresis, and pallor.
Findings:
- Troponin T levels elevated, indicating myocardial injury.
- Diagnosed with non-ST-elevation myocardial infarction (NSTEMI).
- Wall motion studies revealed a decreased ejection fraction from 40% to 31%.
Implications:
- This case underscores the potential for marijuana use to precipitate acute cardiovascular events in susceptible individuals.
- Further research into the cardiovascular risks of cannabis, especially with increasing legalization, is warranted.
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