Suspected Cannabis-Induced Acute Coronary Syndrome and Advanced Heart block
We describe a 35-year-old Caribbean-Black male patient with a significant cannabis history who presented with an inferior ST-segment-elevation acute coronary syndrome (STE-ACS), with advanced heart block during active, ongoing cannabis consumption. During primary percutaneous coronary intervention, cineangiography revealed substantial thrombus burden in the first acute marginal branch of the right coronary artery. He successfully underwent aspiration thrombectomy with subsequent angioplasty with a drug-coated balloon and guideline-directed medical therapy, including direct oral anticoagulation. The clinician should be cognizant of the association between ACS and both acute and chronic cannabis consumption.
Authors
- Rishi Ramtahal (ORCID: https://orcid.org/0000-0003-0785-7421)
- Rajeev Seecheran (ORCID: https://orcid.org/0000-0003-2008-5163)
- Naveen Seecheran (ORCID: https://orcid.org/0000-0002-7779-0181)
- Valmiki Seecheran (ORCID: https://orcid.org/0000-0001-5695-2359)
- Neal Bhagwandass (ORCID: https://orcid.org/0000-0002-9838-7148)
- Arun Maharaj (ORCID: https://orcid.org/0000-0003-1698-6997)
- Arun Katwaroo (ORCID: https://orcid.org/0009-0008-0401-1918)
- Priya Ramcharan
- Pravin Nanga
Institutions
- St. George's University (GD)
- University of New Mexico (US)
- University of the West Indies (TT)
- Regional Health (US)
Publication Details
- Journal
- Journal of Investigative Medicine High Impact Case Reports
- Published
- 2026-03-01
- DOI
- https://doi.org/10.1177/23247096261435473
- Primary Topic
- Cannabis and Cannabinoid Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00