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Cannabis: a trigger for acute myocardial infarction? A case report

Cappelli, Francesco; Lazzeri, Chiara; Gensini, Gian Franco; Valente, Serafina

Journal of Cardiovascular Medicine: July 2008 - Volume 9 - Issue 7 - p 725–728
doi: 10.2459/JCM.0b013e3282f2cd0d
Case reports

Cannabis smoking is consistently increasing in Europe and after alcohol it is the most common recreational drug in the western world. Users and lay people believe that marijuana or hashish is safe. Over the past four decades, however, it has been well established that cannabis has pathophysiological effects on the cardiovascular system. Information concerning the link between cannabis consumption and myocardial infarction is limited and existing data are controversial on this topic. In our case report, we describe a case of a young man who after smoking marijuana experienced ST elevation myocardial infarction caused by acute thrombosis of the descending artery, submitted to efficacious primary coronary angioplasty.

Heart and Vessel Department, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy

Received 27 June, 2007

Revised 24 September, 2007

Accepted 1 October, 2007

Correspondence and requests for reprints to Francesco Cappelli, MD, Intensive Cardiac Care Unit, Heart and Vessel Department, Azienda Ospedaliero-Universitaria Careggi, 50184 Florence, Italy Tel: +39 557 947518; fax: +39 557 947518; e-mail:

© 2008 Italian Federation of Cardiology. All rights reserved.