title: Marijuana-induced recurrent acute coronary syndrome with normal coronary angiograms.
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.
authors.affiliation: College of Medicine, Babylon University, Babylon, Iraq. alishalah1979@yahoo.com.au
authors.forename: Ali M
authors.initials: AM
authors.lastname: Safaa
authors.forename: Ryan
authors.initials: R
authors.lastname: Markham
authors.forename: Rohan
authors.initials: R
authors.lastname: Jayasinghe
mesh_terms: D054058:Acute Coronary Syndrome / Q000139:chemically induced* / Q000175:diagnosis; D000328:Adult; D015415:Biomarkers / Q000378:metabolism; D002637:Chest Pain / Q000209:etiology*; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000139:chemically induced* / Q000175:diagnosis; D004452:Echocardiography; D006801:Humans; D008297:Male; D008385:Marijuana Smoking / Q000009:adverse effects*; D009203:Myocardial Infarction / Q000139:chemically induced / Q000175:diagnosis; D012008:Recurrence
chemical_list: D015415:Biomarkers