A single fatal case links high-potency cannabis use with cardiac collapse
Fatal Cannabis-Associated Cardiovascular Toxicity Following High-Potency Cannabis Use: An Integrated Clinicopathologic Investigation.
AI Summary
This case report investigates whether cannabis exposure was associated with sudden cardiac collapse in a 28-year-old man who developed ventricular fibrillation while smoking a legally purchased product labeled as containing 29.9% Δ9-THC. He survived resuscitation but developed severe hypoxic-ischemic encephalopathy, and life support was withdrawn 6 days later. ECGs and cardiac biomarkers showed evolving signs of heart injury.
Autopsy found a structurally normal heart with open coronary arteries but patchy acute heart-muscle injury. Toxicology confirmed cannabis exposure, and cardiac genetic testing found no pathogenic or likely pathogenic variants. The authors consider transient reduced blood flow from coronary vasospasm a likely explanation, while noting that an initial arrhythmia followed by injury from restored blood flow cannot be ruled out. This is a single case: it supports a close temporal association, but cannot establish that cannabis caused the collapse or determine how often this risk occurs. This is an abstract-based summary, not a review of the full text.
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