Abstract
Marijuana is one of the most popular psychotropic drugs among adolescents and young adults. With the recent surge in marijuana use across the United States, it is very important for physicians to understand the clinical implications associated with marijuana use. In this case report, we discuss a case of a young adult who presented to the emergency department with chest pain and was found to have three-vessel coronary artery disease (CAD). The patient did not have any significant past medical history or family history of cardiac diseases but reported a significant history of marijuana use. This case report aims to add to the growing area of research on the association between myocardial infarction (MI) and marijuana use.
Highlights
Myocardial infarction (MI) is most commonly caused by atherosclerosis and/or inflammatory processes of coronary artery walls
We present a case of a 32-year-old male with no significant past medical history who presented to the emergency department (ED) with chest pain and was found to have three-vessel coronary artery disease (CAD)
This study reported that the risk of the onset of MI is elevated 4.8 times in the first hour after marijuana use [5]
Summary
Myocardial infarction (MI) is most commonly caused by atherosclerosis and/or inflammatory processes of coronary artery walls. We present a case of a 32-year-old male with no significant past medical history who presented to the emergency department (ED) with chest pain and was found to have three-vessel coronary artery disease (CAD). A 32-year-old man with no significant past medical history presented with a three-week history of intermittent, midsternal, non-radiating burning chest pain, which was worsened by strenuous activity and relieved by rest He stated that the current episode of chest pain had started at midnight prior to the day of presentation and was associated with jaw pain and nausea. His social history was significant for a 12-year history of marijuana use with his last use in the immediate past week At presentation, his vitals were as follows: temperature of 97.9 °F, blood pressure of 177/138 mmHg, pulse rate of 106 bpm, and oxygen saturation of 98% on room air. The patient was counseled about the importance of quitting marijuana use, and he was discharged home with amlodipine (5 mg oral daily), atorvastatin (80 mg oral at bedtime), hydrochlorothiazide (25 mg oral daily), losartan (50 mg oral daily), metoprolol succinate (50 mg oral daily), aspirin (81 mg oral daily), and ticagrelor (90 mg oral twice a day)
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