Rezkalla Shereif H, Kloner Robert A
Department of Cardiology, Marshfield Clinic Health System, Marshfield, WI 54449, USA.
Cardiovascular Research Institute, Huntington Medical Research Institutes, Pasadena, CA 91105, USA.
Cardiol Res. 2024 Apr;15(2):86-89. doi: 10.14740/cr1641. Epub 2024 Apr 15.
In about a decade, half of the United States has legalized marijuana for recreational use. The drug has been associated with acute myocardial infarction, acute stroke, congestive heart failure, and various cardiac arrythmias. Data have shown that legalization of the drug led to an increase of its use as well as an increase in tetra hydro cannabinoid positive tests in patients admitted to emergency departments. In Colorado, one of the earlier states to implement legalization, there was an increase in traffic accidents, suicide rates, and even total mortality. However, there is a paucity of data on the effect of marijuana legalization on various cardiovascular events. It is prudent to have well-designed studies with enough power to provide consumers and health care providers the information they need to decide whether the risks of marijuana, especially on the cardiovascular front, are worth the "high" or potential benefits that have been described for other medical conditions.
在大约十年时间里,美国一半的州已将大麻合法化用于娱乐用途。这种毒品与急性心肌梗死、急性中风、充血性心力衰竭以及各种心律失常有关。数据表明,该毒品合法化导致其使用量增加,同时在急诊科就诊的患者中四氢大麻酚检测呈阳性的情况也有所增加。在较早实施合法化的科罗拉多州,交通事故、自杀率甚至总死亡率都有所上升。然而,关于大麻合法化对各种心血管事件影响的数据却很匮乏。进行精心设计且有足够效力的研究是审慎之举,以便为消费者和医疗保健提供者提供他们所需的信息,来决定大麻的风险,尤其是对心血管方面的风险,是否值得为其带来的“快感”或已被描述的对其他医疗状况的潜在益处。