Document Detail


Coronary no-flow and ventricular tachycardia associated with habitual marijuana use.
MedLine Citation:
PMID:  12944889     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 34-year-old man reported heart fluttering and near syncope a few hours after marijuana smoking. In the emergency department, he was found to have a right bundle-branch-type ventricular tachycardia. The patient underwent a successful electric cardioversion. Coronary angiography showed no pericardial artery stenosis yet very slow coronary blood flow. Clinical tachycardia was also inducible in the electrophysiologic laboratory. After verapamil therapy and cessation of marijuana, his coronary flow normalized and ventricular tachycardia was no longer inducible in the electrophysiologic laboratory. Marijuana use might affect coronary microcirculation and cause ventricular tachycardia. Verapamil therapy and cessation of smoking might be curative.
Authors:
Shereif H Rezkalla; Param Sharma; Robert A Kloner
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of emergency medicine     Volume:  42     ISSN:  0196-0644     ISO Abbreviation:  Ann Emerg Med     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-08-28     Completed Date:  2003-10-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  365-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiology, Marshfield Clinic, Marshfield, WI 54449, USA. rezkalla.shereif@marshfieldclinic.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Arrhythmia Agents / therapeutic use
Bundle-Branch Block / chemically induced*,  therapy
Coronary Angiography
Coronary Circulation / drug effects
Electric Countershock
Electrocardiography
Humans
Male
Marijuana Smoking / adverse effects*
Tachycardia, Ventricular / chemically induced*,  therapy
Verapamil / therapeutic use*
Chemical
Reg. No./Substance:
0/Anti-Arrhythmia Agents; 52-53-9/Verapamil

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


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