Marijuana linked to heart attack, stroke risk

Over a five-year period, a government-mandated tracking system in France showed that physicians in that country treated 1,979 patients for serious health problems associated with the use of marijuana, and nearly 2 percent of those encounters were with patients suffering from cardiovascular problems, including heart attack, cardiac arrhythmia and stroke, and circulation problems in the arms and legs. In roughly a quarter of those cases, the study found, the patient died.

In the United States, when young and otherwise healthy patients show up in emergency departments with symptoms of heart attack, stroke, cardiomyopathy and cardiac arrhythmia, physicians have frequently noted in case reports that these unusual patients are regular marijuana users.

Such reporting is hardly the basis for declaring marijuana use an outright cause of cardiovascular disease. But on Wednesday, cardiologists writing in the Journal of the American Heart Association warned that “clinical evidence … suggests the potential for serious cardiovascular risks associated with marijuana use.” And with a growing movement to decriminalize marijuana use, they called for data-collection efforts capable of detecting and measuring marijuana’s cardiovascular impact among American users of cannibis setiva.

“There is now compelling evidence on the growing risk of marijuana-associated adverse cardiovascular effects, especially in young people,” said Emilie Jouanjus, lead author of the French study, which was also published in the Journal of the American Heart Association. That evidence, Jouanjus added, should prompt cardiologists to consider marijuana use a potential cause of cardiovascular disease in patients they see.

In an editorial published Wednesday in the AHA journal, Drs. Sherief Rezkalla and Robert A. Kloner asked, “Do we really know enough about the cardiovascular effects of marijuana to feel comfortable about its use in patients with known cardiovascular disease or patients with cardiovascular risk factors,” including obesity, sedentary behavior, high blood pressure and worrisome cholesterol numbers.

Rezkalla and Kloner combed the recent medical literature for animal experiments, observational studies and case reports linking marijuana use in close temporal proximity with cardiovascular events. They cited evidence that marijuana use probably increases clotting factors in the blood and that heavy marijuana use may lead to significant changes in the tiny vessels carrying blood to the heart and brain, such that even after clearance of a major blockage, blood flow remains impeded.

Aside from heart attacks and strokes, case studies linked recent marijuana use in patients seeking care for increased angina, ischemic ulcers and gangrene associated with blocked blood flow to extremities and transient ischemic attacks, sometimes called “mini-strokes.” Notably these complaints often came from patients who were young and had no previous evidence of cardiovascular disease.

“We think the time has come to stop and think about what is the best way to protect our communities from the potential danger of widespread marijuana use in the absence of safety studies,” added Rezkalla, a cardiologist at the Marshfield Clinic in Wisconsin, and Kloner, a cardiologist at the University of Southern California’s Keck School of Medicine. “It is the responsibility of the medical community to determine the safety of the drug before it is widely legalized for recreational use.”

More in Local News

Inslee’s budget solves school funding with help from carbon

His budget would use reserves to boost education, then replenish them with a carbon tax or fee.

Man, 29, injured by shots fired at Everett thrift store

The gunfire followed an argument in the parking lot of Value Village on Evergreen Way.

Police: He made an appointment, then tried to rob the bank

A lawyer is accused of donning a fake beard and telling a teller that a gunman was outside.

Lynnwood robbery leads to lockdown at Edmonds schools

Edmonds police said it was just a precaution as they search around Edmonds-Woodway High School.

Marysville 7-Eleven hit by armed robbers

Officers set up a perimeter and brought in a police dog, but the man couldn’t be found.

In adult court, four teens plead not guilty to murder

Prosecutors allege they worked together to plan and execute a drug robbery in Everett.

2 women struck, injured while crossing busy roads

The first happened Wednesday night in Everett. The second was Thursday morning in Edmonds.

Suspected escort charged with felony assault, robbery

She allegedly told police she shot the man in the head “because he was performing (a sex act) wrong.”

Lives were on the line

After an estimated 350K emergency calls over 35 years, dispatcher Steve Williams is set to retire.

Most Read