Ventricular fibrillation triggered by marijuana use in a patient with ischemic cardiomyopathy: a case reportReport as inadecuate




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Cases Journal

, 1:373

First Online: 03 December 2008Received: 11 September 2008Accepted: 03 December 2008DOI: 10.1186-1757-1626-1-373

Cite this article as: Baranchuk, A., Johri, A.M., Simpson, C.S. et al. Cases Journal 2008 1: 373. doi:10.1186-1757-1626-1-373

Abstract

BackgroundA 60-year-old man presented to the emergency department with a left eye orbital rupture sustained during a fall due to syncope shortly after smoking more than his usual amount of marijuana.

Case presentationThe patient reported experiencing a shock from his implantable cardioverter-defibrillator ICD device prior to the loss of consciousness. There was no biochemical, electrocardiographic, or clinical evidence of ischemia. ICD interrogation revealed one episode of ventricular fibrillation which was appropriately sensed and treated with a single shock of 35 Joules.

ConclusionAlthough the cardiovascular effects of marijuana are usually well tolerated in young healthy users, its use may trigger life-threatening arrhythmias in patients with structural heart disease. To the best of our knowledge, this is the first report on a case of ventricular fibrillation triggered by marijuana use in a patient with an ICD.

Electronic supplementary materialThe online version of this article doi:10.1186-1757-1626-1-373 contains supplementary material, which is available to authorized users.

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Author: Adrian Baranchuk - Amer M Johri - Christopher S Simpson - Michelle Methot - Damian P Redfearn

Source: https://link.springer.com/



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