Spontaneous Coronary Artery Dissection in the Setting of Marijuana: A Case Report.
Document Type
Article
Publication Date
4-29-2024
Publication Title
Cureus
Abstract
This case report presents a detailed examination of spontaneous coronary artery dissection (SCAD) in a 61-year-old Middle Eastern male with a history of marijuana use and essential hypertension. The patient's emergency presentation with loss of consciousness and subsequent diagnostics - including elevated troponins and distinctive electrocardiogram changes - led to the identification of extensive SCAD affecting multiple coronary arteries. The association between marijuana use and cardiovascular pathology is focal in this study, particularly considering the patient's positive test for tetrahydrocannabinol (THC) and significant smoking history. This case highlights the critical need for heightened awareness among clinicians regarding the implications of recreational marijuana use, particularly in individuals with predisposing cardiovascular risk factors. Furthermore, it illustrates the complexity of diagnosing and managing SCAD, a condition that may vary widely in its presentation and severity, necessitating a tailored approach to treatment that considers both the acute manifestations and underlying contributory factors such as substance use.
Volume
16
Issue
4
First Page
e59284
Recommended Citation
Zafrullah F, Raheela F, Ali F, Zafar S, Ayoob N, Majid A, et al. Spontaneous coronary artery dissection in the setting of marijuana: a case report. Cureus. 2024 Apr 29;16(4):e59284. doi: 10.7759/cureus.59284. PMID: 38813308.
DOI
10.7759/cureus.59284
ISSN
2168-8184
PubMed ID
38813308
