Aissaoui Hanane, Boulouiz Soumia, El-Azrak Mohammed, Bouchlarhem Amine, Elouafi Noha, Bazid Zakaria
Department of Cardiology, Mohammed I University of Oujda, Mohammed VI University Hospital, Epidemiological Laboratory of Clinical Research and Public Health, Oujda, Morocco.
Ann Med Surg (Lond). 2022 Jun 25;80:104054. doi: 10.1016/j.amsu.2022.104054. eCollection 2022 Aug.
Cannabis smoking has been reported as one of the risk factors for coronary heart disease, which can trigger in rare cases, an acute coronary syndrome (ACS). In this report, we present a case of a 27-year-old man presented with acute myocardial infarction (AMI) following cannabis consumption. The patient developed ST-segment elevation on the anterior and inferior leads. Coronary angiogram demonstrated a significant stenosis of the left anterior descending coronary artery (LAD). A Percutaneous Coronary Intervention (PCI) of the LAD, was realized with the implantation of a new generation-stent with good clinical evolution status. Healthcare professionals should consider cannabis consumption as a possible etiology of acute myocardial infarction, particularly in young patients with a susceptible social profile (drug-using patients with coronary heredity as a cardiovascular risk factor), and should educate patients regarding this emerging public health issue.
吸食大麻已被报道为冠心病的危险因素之一，在极少数情况下可引发急性冠状动脉综合征（ACS）。在本报告中，我们呈现了一例27岁男性在吸食大麻后出现急性心肌梗死（AMI）的病例。患者前壁和下壁导联出现ST段抬高。冠状动脉造影显示左前降支冠状动脉（LAD）有明显狭窄。对LAD进行了经皮冠状动脉介入治疗（PCI），植入了新一代支架，临床进展状况良好。医护人员应将吸食大麻视为急性心肌梗死的一种可能病因，尤其是对于具有易感社会背景的年轻患者（有冠心病遗传因素作为心血管危险因素的吸毒患者），并应就这一新兴的公共卫生问题对患者进行教育。
