Unal Selin, Rattan Keston, Khan Mir Sulayman, Wang Roy, Amro Omar, Bukharovich Inna
Internal Medicine, State University of New York Downstate Health Sciences University, Brooklyn, USA.
Cardiology, Kings County Hospital Center, Brooklyn, USA.
Cureus. 2025 Jul 16;17(7):e88068. doi: 10.7759/cureus.88068. eCollection 2025 Jul.
Wellens syndrome is a rare variant of acute coronary syndrome (ACS) that often heralds an impending large anterior wall myocardial infarction. We present the case of a young male with no traditional coronary artery disease (CAD) risk factors. Despite only minimally elevated troponin levels, the patient's smoking history, serial electrocardiogram (ECG) changes, and the emerging evidence linking cannabis use to cardiovascular risk contributed to the timely diagnosis of Wellens syndrome. Although cannabis is increasingly accepted for medical and recreational use, growing concerns have been raised about its potential adverse cardiovascular effects. This case highlights the importance of early identification and prompt intervention. In Wellens syndrome, a conservative approach is associated with poor outcomes, making the decision to proceed with an invasive strategy critical. Understanding the association between cannabis use and myocardial infarction may shape future medical management as cannabis consumption continues to rise.
Wellens综合征是急性冠状动脉综合征（ACS）的一种罕见变体，常预示即将发生大面积前壁心肌梗死。我们报告一例无传统冠状动脉疾病（CAD）危险因素的年轻男性病例。尽管肌钙蛋白水平仅轻度升高，但患者的吸烟史、系列心电图（ECG）变化以及大麻使用与心血管风险相关的新证据促成了Wellens综合征的及时诊断。尽管大麻在医疗和娱乐用途方面越来越被接受，但人们对其潜在的心血管不良影响的担忧也日益增加。该病例强调了早期识别和及时干预的重要性。在Wellens综合征中，保守治疗方法与不良预后相关，因此决定采用侵入性策略至关重要。随着大麻消费持续增加，了解大麻使用与心肌梗死之间的关联可能会影响未来的医疗管理。
