• Drug and alcohol review · Jan 2012

    Case Reports

    Marijuana-induced recurrent acute coronary syndrome with normal coronary angiograms.

    • Ali M Safaa, Ryan Markham, and Rohan Jayasinghe.
    • College of Medicine, Babylon University, Babylon, Iraq. alishalah1979@yahoo.com.au
    • Drug Alcohol Rev. 2012 Jan 1;31(1):91-4.

    AbstractWe report a case of a man in his 40s presented to the emergency department twice, 1 month apart, with severe ischaemic sounding chest pain within 1 h of smoking marijuana on both occasions. He had elevated serial biomarkers and ischaemic electrocardiogram changes. His coronary angiograms on both episodes were entirely normal along with normal echocardiogram. This potentially suggests a coronary vasospasm as an underlying mechanism for these non-ST elevation myocardial infarctions. This should alert clinicians and the public alike to this potential risk of cannabis use.© 2011 Australasian Professional Society on Alcohol and other Drugs.

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