Suspected Cannabis-Induced Acute Coronary Syndrome and Advanced Heart block

Journal of Investigative Medicine High Impact Case Reports 2026 Open access

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Authors: Matthew Maharaj, Pravin Nanga, Arun Rabindra Katwaroo, Priya Ramcharan, Valmiki Krishna Seecheran, Rajeev Virender Seecheran, Rishi Ramtahal, Neal Bhagwandass, Naveen Anand Seecheran
DOI: 10.1177/23247096261435473
Cited by: 1
References: 30

Abstract

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.

Fields of Study & Subjects

Cannabis and Cannabinoid Research Substance Abuse Treatment and Outcomes Alcohol Consumption and Health Effects

Publication details

Journal / source
Journal of Investigative Medicine High Impact Case Reports
Publisher
SAGE Publications
Volume
14
Pages
23247096261435473–23247096261435473
Publication date
1 March 2026
Language
EN