Document Detail


Cannabis misinterpretation and misadventure in a coroner's court.
MedLine Citation:
PMID:  23155125     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 37-year-old, one-pack-per-day tobacco smoker collapsed and died at home. At autopsy, he had an occluded left anterior descending coronary artery. Δ(9)-Tetrahydrocannabinol-carboxylic acid was found in his urine but no cannabinoids were detected in his blood. Misadventure was the inquest verdict on the basis of the urinary cannabis, with acute myocardial infarction as the primary cause and cannabis as the secondary cause of death. Such a conclusion is a misinterpretation of the evidence when the time duration for cannabis as a trigger for myocardial infarction is at most two hours. The absence of cannabis in the blood likely places the time since inhalation at more than two hours. The role of tobacco smoking as a trigger was ignored. Cotinine, the biochemical marker of tobacco smoke, should be added to the standard toxicological screen in the guidelines on autopsy practice of the Royal College of Pathologists.
Authors:
William Patrick Tormey
Related Documents :
21504465 - Impact of cilostazol on left ventricular geometry and function: assessment by tissue do...
21402345 - A prospective observational study of treatment practice patterns in acute coronary synd...
10969315 - Cardiac troponin i and myocardial contusion in the rabbit.
21091965 - Defibrillation thresholds in hypertrophic cardiomyopathy.
3261655 - Coronary artery bypass grafting for the third time or more. results of 150 consecutive ...
13129985 - Azithromycin for the secondary prevention of coronary heart disease events: the wizard ...
Publication Detail:
Type:  Journal Article     Date:  2012-02-01
Journal Detail:
Title:  Medicine, science, and the law     Volume:  52     ISSN:  0025-8024     ISO Abbreviation:  Med Sci Law     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-11-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400721     Medline TA:  Med Sci Law     Country:  England    
Other Details:
Languages:  eng     Pagination:  229-30     Citation Subset:  IM    
Affiliation:
Chemical Pathology, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Clinical specificity of the enzyme immunoassay test for coccidioidomycosis varies according to the r...
Next Document:  The impact of direction of great saphenous vein total stripping on saphenous nerve injury.