Cardiology Department of Shohadaye-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Cardiovascular research center, Moddares Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran .
Acta Biomed. 2021 Apr 30;92(S1):e2021035. doi: 10.23750/abm.v92iS1.8269.
Marijuana is a widely used illicit substance among young adults and its abuse has been reported worldwide. Marijuana is a rare trigger of acute myocardial infarction and acute pancreatitis. We present a 25-year-old man with acute pancreatitis subsequently complicated by acute ST-elevation myocardial infarction (STEMI), which was associated with marijuana abuse. This case highlights the need and importance of awareness among public about this rare but potentially lethal adverse effect. Also, it draws attention when clinicians confront patients with history of substance abuse, they should be alert to the possibility of concurrent occurrence of serious medical conditions that may be adverse effects of substance use. Acute pancreatitis with concurrent acute STEMI is a rare situation but is a challenge for many emergency physicians, and it can lead to trouble outcomes if it not be quickly diagnosed and properly managed. We demonstrate successful management in this complicated patient with primary angioplasty.
大麻是年轻人中广泛使用的非法物质，其滥用已在全球范围内得到报道。大麻是急性心肌梗死和急性胰腺炎的罕见诱因。我们报告了一例 25 岁男性，因急性胰腺炎并发急性 ST 段抬高型心肌梗死（STEMI），与大麻滥用有关。该病例强调了公众对此种罕见但潜在致命不良事件的认识的必要性和重要性。此外，当临床医生面对有物质滥用史的患者时，他们应该警惕同时发生严重疾病的可能性，这些疾病可能是物质使用的不良反应。急性胰腺炎伴并发急性 STEMI 的情况较为罕见，但对许多急诊医生来说是一个挑战，如果不能快速诊断和妥善处理，可能会导致不良后果。我们通过直接经皮冠状动脉介入治疗成功地对这例复杂患者进行了治疗。
