title: Cardiovascular side effects related with use of synthetic cannabinoids "bonzai" : two case reports.
abstract: Information about the effects of synthetic cannabinoids "bonzai" on the cardiovascular system is limited. In this article, two patients in whom different cardiological side effects were observed following use of synthetic cannabinoids 'bonzai' were presented. Our first patient who was a 16-year old boy presented to pediatric emergency department with severe chest pain which had started one hour before. On electrocardiographic examination, ST segment elevations greater than 3 mm were observed in DII, DIII, AVF and V5-V6 derivations which caused to suspicious myocardial infarction. Cardiac catheterization was performed and coronary angiographic findings were found to be normal. When the patient was questioned again, it was learned that he used synthetic cannabinoid 'bonzai'. The second patient who was aged 18 years and addicted to synthetic cannabinoid 'bonzai' was brought to our emergency department by his friends because of clouding of consciousness. Dopamine treatment was started in the patient whose cardiac apical beat reduced to 40/min and who was found to develop hypertension, because bradycardia worsened. However, the blood pressure increased rapidly and dopamine treatment was stopped. Heart rate and blood pressure monitoring was continued. Use of synthetic cannabinoids 'bonzai' should be kept in mind in patients who present to emergency departments with chest pain and complaints related with the cardiovascular system.
authors.affiliation: Department of Pediatrics, Division of Pediatric Cardology, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.
authors.forename: Sezen Ugan
authors.initials: SU
authors.lastname: Atik
authors.affiliation: Department of Pediatrics, Division of Pediatric Cardology, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.
authors.forename: Reyhan
authors.initials: R
authors.lastname: Dedeoğlu
authors.affiliation: Department of Pediatrics, Division of Pediatric Emergency, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Varol
authors.affiliation: Department of Pediatrics, Division of Pediatric Emergency, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.
authors.forename: Halit
authors.initials: H
authors.lastname: Çam
authors.affiliation: Department of Pediatrics, Division of Pediatric Cardology, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.
authors.forename: Ayşe Güler
authors.initials: AG
authors.lastname: Eroğlu
authors.affiliation: Department of Pediatrics, Division of Pediatric Cardology, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Saltık
keywords: Synthetic cannabinoids; bradycardia; myocardial infaction