Two Million Heart Disease Patients Have Smoked Pot, New Study Suggests

22 Janvier, 2020, 16:40 | Auteur: Yves Courtet
  • Containers of marijuana

And a number of studies, including those collected in the new review, published in the Journal of the American College of Cardiology, indicate that smoking cannabis has the same effects on the cardiovascular system as smoking does.

Observational studies have linked marijuana use to a range of cardiovascular risks, including stroke, arrhythmia and diseases that make it hard for the heart muscle to pump properly, said the researchers.

The research team examined data from the National Health and Nutrition Examination Survey (NHANES) to estimate marijuana use among United States patients with cardiovascular disease.

"What's more, there may be many people who are at risk for cardiovascular disease but may not be diagnosed", she adds.

"Marijuana use, both recreational and medical, is increasing nationally yet many of its cardiovascular effects remain poorly understood", said lead author DeFilippis. "But we do know that acute marijuana use induces increases in blood pressure and heart rate that could be problematic for people with heart disease".

Those include patients who've recently been treated for a heart attack, abnormal heart rhythm or failing heart muscle.

Virani also encouraged heart disease patients to tell their doctors about any marijuana use.

Despite the fact that present proof for a hyperlink between marijuana and middle assaults is understated, it's idea that smoking marijuana would possibly build up cell rigidity and irritation, that are identified to be precipitating elements for coronary artery illness and middle assaults.

Review recommends patients at risk of cardiovascular events should be counseled to avoid or minimize marijuana use until further data are available.

But research on the drug's health effects is fairly nascent, and researchers at Brigham and Women's Hospital worry that cannabis could spell disaster if combined with drugs like statins, commonly prescribed to help manage the condition.

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A small experimental study found that smoking marijuana can bring on angina (chest pain) more quickly in patients with coronary heart disease compared with smoking a placebo.

"This was eye-opening for us", said corresponding author Muthiah Vaduganathan, MD, MPH, a cardiologist at the Brigham.

They found, based on the responses to the National Health and Nutrition Examination Survey from 2016, that over 2 Million People with heart disease have used marijuana.

Now there is a dearth of controlled research on the subject because marijuana remains classified federally as a Schedule I substance, a Drug Enforcement Administration categorization that indicates these substances have "no now accepted medical use in the United States", and a high potential for abuse. They estimated that 2 million (2.3 percent) of the 89.6 million adults who reported marijuana use had cardiovascular disease. "Patients should be screened for and counseled regarding the hazards of concurrent use of other illicit drugs, especially those with known adverse cardiovascular effects (e.g., cocaine, methamphetamines)", the reviewers added.

Research suggests a potential link between marijuana and heart risks. Her paper highlights a meta-analysis that finds smoking marijuana was one of the top three triggers of heart attack.

Doctors should also ask patients about how they use marijuana, says the study.

Certain cardiovascular medications, including statins and blood thinners, can be affected by marijuana use, the review found.

Dr. Sergio Fazio, a professor of cardiovascular medicine at Oregon Health and Science University in Portland that wasn't involved in the study, advises that edibles are more powerful than smoking or vaping cannabis.

The study drew its conclusions at a population level, Vaduganathan says, but at the level of individual patients, "maybe those conversations need to be more nuanced".

With all this in mind, authors went on to comment on the importance of early screening and counseling patients regarding potential cardiovascular hazards of marijuana use.


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