Vol 69, No 11 (2011)
Case studies
Published online: 2011-11-17
Severe pulmonary embolism in a young marijuana smoker
DOI: 10.33963/v.kp.79493
Kardiol Pol 2011;69(11):1168-1170.
Abstract
It is a popular belief, that marijuana smoking is not harmful to health. Some publications, however, suggest its possible
association with mental, respiratory and cardiovascular complications, but not with venous thromboembolism. The authors
describe a case of severe pulmonary embolism in a mildly obese, 22 year-old marijuana and tobacco smoker. After thrombolysis,
rapid haemodynamic improvement was observed, contrary to slow regression of concomitant deep vein thrombosis
during anticoagulation with warfarin. Toxycologic assessment of urine cannabinols was positive for two months. In trombophilia
screening only moderate hyperhomocysteinaemia (not related to MTHFR C667T polymorphism) was found.
Kardiol Pol 2011; 69, 11: 1168–1170
Kardiol Pol 2011; 69, 11: 1168–1170
Keywords: pulmonary embolismvenous thromboembolismmarijuanatetrahydrocannabinol