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Can J Cardiol. 2019 Feb;35(2):229.e1-229.e3. doi: 10.1016/j.cjca.2018.11.033.

Marijuana Lollipop-Induced Myocardial Infarction.

Author information

1
Dalhousie University Internal Medicine Program, Halifax (Saint John, New Brunswick site), Nova Scotia, Canada; Horizon Health Department of Cardiology, Saint John, New Brunswick, Canada.
2
Horizon Health Department of Cardiology, Saint John, New Brunswick, Canada. Electronic address: Alex.Saunders@dal.ca.

Abstract

A 70-year-old man with known coronary artery disease presented with crushing chest pain, diaphoresis, and pallor after consuming a marijuana lollipop; the pain began within 30 minutes of consumption. His troponin T increased from 94 ng/L to 216 ng/L, with slight ST changes but no gross ST elevations. Discharge diagnosis was non-ST-elevation myocardial infarction, and subsequent nuclear medicine wall motion studies showed worsening ejection fraction (40% to 31%). He also described worsening functional status and exercise capacity after the event. The outcome of this case is important with new marijuana legalization-hopefully with marijuana use no longer criminalized, more research into the cardiovascular side effects will emerge.

PMID:
30760432
DOI:
10.1016/j.cjca.2018.11.033

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