Landa Eric, Vigandt Erika, Andreev Alexander, Malyshev Yury, Sahni Sonu
Internal Medicine, Ross University School of Medicine, Bridgetown, BRB.
Internal Medicine, Brookdale University Hospital Medical Center, New York, USA.
Cureus. 2019 Sep 19;11(9):e5696. doi: 10.7759/cureus.5696.
Marijuana, derived from the plant, is the most commonly abused illicit drug in the United States. Now, more than ever, due to changing regulations, marijuana is more readily available and is known to be habitually used by millions. The neuropsychiatric effects of marijuana are well-known which include chronic fatigue syndrome and polyphagia. However, marijuana is also known to exert cardiac effects, such as tachycardia, hypotension, and hypertension. Marijuana has also been described in association with atrial fibrillation, ventricular tachycardia, and cardiac arrest. However, acute coronary syndromes, such as myocardial infarction in the setting of marijuana use, is rare. Herein, we present the case of a non-ST-elevation myocardial infarction (NSTEMI) in the setting of marijuana use in a 42-year-old African American male with no significant past medical history who presented with chest pain at rest one hour after smoking marijuana.
大麻源自植物，是美国最常被滥用的非法药物。如今，由于法规变化，大麻比以往任何时候都更容易获得，并且有数百万的人习惯性使用。大麻对神经精神方面的影响是众所周知的，包括慢性疲劳综合征和多食症。然而，大麻也会对心脏产生影响，如心动过速、低血压和高血压。大麻还与心房颤动、室性心动过速和心脏骤停有关。不过，急性冠状动脉综合征，如在使用大麻情况下发生的心肌梗死，较为罕见。在此，我们报告一例42岁非裔美国男性在使用大麻后出现非ST段抬高型心肌梗死（NSTEMI）的病例，该男性既往无重大病史，在吸食大麻一小时后出现静息时胸痛。
