Acute myocardial infarction (AMI), commonly known as a heart attack, happens when blood flow stops or diminishes to a part of the heart muscle, causing damage. Symptoms include heartburn feeling, cold sweat, feeling faint, nausea, feeling tired, shortness of breath and discomfort running into the jaw, back, neck, shoulder or arm. Chest pain in the centre or left side can last more than a few minutes. An AMI may lead to heart failure[1].

Cannabis and heart attack

The literature reported that the potential relationship between marijuana use and cardiovascular events in older people with coronary heart disease and with tachycardia at rest. Besides, the risk of myocardial infarction increased approximately five times after 1-hour post marijuana smoking when compared to a marijuana non-smoking period.

A multivariable analysis study revealed that marijuana use was associated with a 3-8% increased risk of acute myocardial infarction development[2]. However, the two main cannabinoids contained in the marijuana plant, tetrahydrocannabinol (THC) and cannabidiol (CBD), have agonistic effects on the cardiovascular system (on the isolated heart from an animal´s body). THC decreases in contractile force and coronary flow, and at the same time induces an increased frequency, while CBD increases contractile force and coronary flow, simultaneously but it does not change the heart rate. These effects prevail when CBD is co-administered with THC[3]. However, further investigation is required to establish whether similar response to CBD would be possible in humans.

In 2018 a new study was made about the impact of marijuana use on short-term outcomes following a heart attack. Between 1994 and 2013, the hospital records of patients with heart attacks were compared in 8 US states. In addition, clinical data and profiles of patients with and without cannabis consumption were compared.

The results showed that cannabis use reduced mortality post-AMI and it was not associated with an increased risk of adverse short-term outcomes following AMI. One possible explanation for this reduced mortality in this study is that taking cannabis may have a cardiac infarct preventative effect. In addition, it turned out that : cannabis reduced mortality, but consumers have an increased risk of mechanical ventilation after a heart attack.

Based on these results, it is clear that cannabis is not associated with an increased risk, contrary to the assumption that it causes adverse effects after a heart attack. Regarding the spread of cannabis consumption and the results, it seems likely that additional studies should be undertaken to further explore this finding and identify ways in which the use of cannabinoids may be associated with improved and less negative outcomes after a heart attack[4].

[1] What Are the Signs and Symptoms of Coronary Heart Disease?”www.nhlbi.nih.gov. September 29, 2014. Archived from the original on 24 February 2015. Retrieved 23 February 2015

[2] Desai, R., et alt (2017). Recreational Marijuana Use and Acute Myocardial Infarction: Insights from Nationwide Inpatient Sample in the United States. Cureus.doi:10.7759/cureus.1816

[3] Trouve R, Nahas G, Stuker O, et al. [Antagonistic effects of two natural cannabinoids on the isolated heart]C R Seances Acad Sci III. 1983;297:191-194

[4] Johnson-Sasso, C. P., Tompkins, C., Kao, D. P., & Walker, L. A. (2018). Marijuana use and short-term outcomes in patients hospitalized for acute myocardial infarction. PLOS ONE, 13(7), e0199705.doi:10.1371/journal.pone.0199705

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Cannabis may reduce hospital mortality after a heart attack
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Cannabis may reduce hospital mortality after a heart attack
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Cannabis could reduce mortality in hospitals after a heart attack. Taking cannabis may have a cardiac infarct preventative effect
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Kalapa Clinic
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