Marijuana-induced recurrent acute coronary syndrome with normal coronary angiograms |
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Authors: | Safaa Ali M Markham Ryan Jayasinghe Rohan |
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Institution: | College of Medicine, Babylon University, Babylon, Iraq. alishalah1979@yahoo.com.au |
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Abstract: | We 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. |
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Keywords: | myocardial infarction marijuana coronary vasospasm |
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