Case Study and Case Report 2023; 13(2): 27 - 30.

Noren Q, Omren P. A case of cannabis-induced ST-Segment elevation myocardial infarction with possible coronary artery dissection. Case Study and Case Report 2023; 13(3): 27 - 30. ABSTRACT Acute coronary syndrome caused by spontaneous coronary artery dissection is an uncommon and sometimes misdiagnosed cause of the condition. We discuss the case of a 41-year-old male patient who had an acute start of left-sided chest pain, which was preceded by several hours of nausea and vomiting. Chronic marijuana usage and several episodes of nausea and vomiting necessitating multiple hospitalizations were noteworthy in the past medical history. A urine drug screen indicated only cannabis, and an electrocardiogram revealed an ST-segment elevation myocardial infarction. This was compounded by a ventricular fibrillation event that was successfully defibrillated and prompted cardiac catheterization, which revealed a coronary intraluminal filling defect and a segmental lesion, both of which suggested coronary dissection. The patient was stabilized after stent implantation and thrombectomy. As the use of cannabinoids becomes more legal and popular, this case seeks to raise physicians' awareness of potentially life-threatening consequences. Key words: Cannabis, myocardial, infarction