Because I Got High: Marijuana Induced Pseudo-Wellen's Syndrome

Kandah, Fadi; Mikulic, Sebastian; Patel, Pujan; Dhruva, Pooja

doi:10.7759/cureus.10390

Cited by 2 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous studies have documented common etiologies of Wellens syndrome, including myocardial bridge[ 11 ], Tako-Tsubo cardiomyopathy[ 12 ], pulmonary embolus[ 13 ], and coronary spasm caused by drug abuse[ 14 ]. The pathophysiological mechanism underlying the characteristic T-wave changes in Wellens syndrome is debatable.…”

Section: Discussionmentioning

confidence: 99%

Entire process of electrocardiogram recording of Wellens syndrome: A case report

Tang¹,

Li²,

Liang³

et al. 2022

WJCC

View full text Add to dashboard Cite

BACKGROUND Wellens syndrome is an electrocardiogram (ECG) pattern seen in high-risk patients with unstable angina pectoris. It is characterized by inverted or biphasic T-waves that change into positive or pseudo-normalized waves at precordial leads when the patient experiences an angina attack; however, the mechanism for this condition remains unclear. CASE SUMMARY A 47-year-old male patient experienced repeated, unprovoked episodes of chest pain for > 20 d, with worsening during the previous day. On the day of admission, he experienced episodes of paroxysmal chest pain lasting more than 30 min, in addition to radiating pain to the left arm and exertional dyspnea. The patient presented to the emergency department with no chest pain or other discomfort at that time. ECG at presentation showed sinus tachycardia and T-wave changes, which were identified as Wellens syndrome when combined with previous ECG findings. ECGs and myocardial enzymology examinations were normal when angina was present, but the ECG showed inverted or biphasic T-waves when angina was absent. After percutaneous coronary intervention, the ECGs demonstrated inverted or biphasic T-waves in the anterior precordial leads on days 0, 1, and 2, but normal T-waves on day 3. The ECGs showed no subsequent ischemic ST-T-wave changes. CONCLUSION The Wellens syndrome pseudo-normalized T-waves likely reflect development of unstable angina pectoris into the hyperacute phase of ST-segment elevation myocardial infarction.

show abstract

Section: Discussionmentioning

confidence: 99%

Entire process of electrocardiogram recording of Wellens syndrome: A case report

Tang¹,

Li²,

Liang³

et al. 2022

WJCC

View full text Add to dashboard Cite

show abstract

“…It is important to assess traditional risk indicators in order to properly stratify risks. Crucial to the diagnosis is the EKG, which displays characteristic signs of Wellen's syndrome, including biphasic T waves in leads V2-V3 and symmetric and deeply inverted T waves in precordial leads V1-V4 [14].…”

Section: B Changes In P Wave Qrs Complex and T Wave Morphologymentioning

confidence: 99%

Cannabinoids and Cardiac Rhythms: Unveiling the Relationship between Cannabis Use, ECG Changes, and Arrhythmias

Fahimi,

Beikmohammadi,

Rostami

2024

Preprint

View full text Add to dashboard Cite

Understanding how cannabis affects our heart is like navigating through a maze of conflicting findings. While it's known for its diverse uses, from medicinal to industrial, cannabis also raises red flags regarding its impact on heart health. This review dives into the intricate relationship between cannabis use and cardiovascular well-being, particularly focusing on changes seen in electrocardiogram (ECG) readings, which serve as vital indicators of heart function and rhythm. When someone tokes up, their heart might race temporarily, but chronic cannabis use paints a darker picture, with potential risks of heart attacks and strokes looming on the horizon. The ECG alterations observed in cannabis users, such as irregular heartbeats and unusual wave patterns, hint at disruptions in the heart's normal workings. Furthermore, cannabis has been linked to prolonging the QT interval in the heart's electrical cycle, potentially setting the stage for dangerous arrhythmias. Amidst this mixed bag of effects, some studies even suggest that tiny amounts of THC, the main psychoactive component of cannabis, might lend a helping hand to the heart. However, caution flags are raised, especially for vulnerable groups. While researchers strive to unravel the mysteries of cannabis and the heart, limitations in current studies remind us that we're still far from having all the answers. Moving forward, future investigations should delve deeper into understanding how cannabis tinkers with our heart's inner workings, especially across different demographics. Armed with this knowledge, we can better tailor interventions to safeguard the heart health of cannabis users.

show abstract

Because I Got High: Marijuana Induced Pseudo-Wellen's Syndrome

Cited by 2 publications

References 9 publications

Entire process of electrocardiogram recording of Wellens syndrome: A case report

Entire process of electrocardiogram recording of Wellens syndrome: A case report

Cannabinoids and Cardiac Rhythms: Unveiling the Relationship between Cannabis Use, ECG Changes, and Arrhythmias

Contact Info

Product

Resources

About