Marijuana-induced recurrent acute coronary syndrome with normal coronary angiograms

Authors


Ali M. Safaa MBChB, Doctor, Ryan Markham MBBS, Doctor, Rohan Jayasinghe MBBS, PhD, FRACP, Professor. Dr Ali Safaa, Gold Coast Hospital, 108 Nerang Street, Southport, Qld 4215, Australia. Tel: +61 0432088636; Fax: +61 0755327697; E-mail: alishalah1979@yahoo.com.au

Abstract

We report a case of a man in his 40s presented to the emergency department twice, 1 month apart, with severe ischaemic sounding chest pain within 1 h of smoking marijuana on both occasions. He had elevated serial biomarkers and ischaemic electrocardiogram changes. His coronary angiograms on both episodes were entirely normal along with normal echocardiogram. This potentially suggests a coronary vasospasm as an underlying mechanism for these non-ST elevation myocardial infarctions. This should alert clinicians and the public alike to this potential risk of cannabis use.[Safaa AM, Markham R, Jayasinghe R. Marijuana-induced recurrent acute coronary syndrome with normal coronary angiograms. Drug Alcohol Rev 2012;31:91–94]

Ancillary