A 36-year-old woman with CHS developed aortic blood clot and coronary artery disease

A 36-year-old woman with cannabinoid hyperemesis syndrome presented with chest pain and was found to have coronary artery disease and an aortic mural thrombus, requiring surgical intervention because CHS prevented antiplatelet therapy.

Labrada, Lyana et al.·JACC. Case reports·2021·Preliminary EvidenceCase Report
RTHC-03267Case ReportPreliminary Evidence2021RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Case Report
Evidence
Preliminary Evidence
Sample
Not reported

What This Study Found

The patient had single-vessel coronary artery disease and an aortic mural thrombus. Standard treatment (antiplatelet therapy) was not possible because CHS caused inability to tolerate oral medication, necessitating coronary artery bypass and surgical thrombectomy instead.

Key Numbers

Age 36. Single-vessel coronary artery disease. Aortic mural thrombus. Required CABG and surgical thrombectomy due to CHS preventing antiplatelet therapy.

How They Did This

Single case report documenting a 36-year-old woman with CHS who presented with chest pain. Clinical management described including diagnostic workup and surgical intervention.

Why This Research Matters

This case illustrates how CHS can complicate treatment of other serious conditions. The persistent vomiting of CHS prevented oral antiplatelet therapy, forcing a more invasive surgical approach. It also raises questions about whether chronic cannabis use contributed to the cardiovascular pathology.

The Bigger Picture

Cardiovascular complications in cannabis users are increasingly reported but poorly understood. This case adds a unique angle: CHS not only represents a direct cannabis health risk but can also prevent standard medical treatment of other conditions.

What This Study Doesn't Tell Us

Single case. Cannot establish whether cannabis caused the cardiovascular pathology. The patient may have had other unmentioned risk factors.

Questions This Raises

  • ?Did chronic cannabis use contribute to this patient's cardiovascular disease?
  • ?How common are serious cardiovascular events in CHS patients?
  • ?Should CHS patients receive cardiovascular screening?

Trust & Context

Key Stat:
CHS prevented standard antiplatelet therapy, forcing surgical intervention
Evidence Grade:
Single case report. Cannot establish causation but documents a clinically important complication.
Study Age:
2021 case report.
Original Title:
Aortic Mural Thrombus and Acute Coronary Syndrome in a Patient With Cannabinoid Hyperemesis Syndrome.
Published In:
JACC. Case reports, 3(4), 694-696 (2021)
Database ID:
RTHC-03267

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / Observational
Case Report / Animal StudyOne case or non-human subjects
This study

Describes what happened to one person or a small group.

What do these levels mean? →

Frequently Asked Questions

Can cannabis cause heart problems?

This case cannot prove causation, but a 36-year-old with CHS developing coronary artery disease and aortic thrombus is unusual for her age and raises the question of whether chronic cannabis use contributed.

How did CHS complicate treatment?

CHS caused persistent vomiting that prevented the patient from taking oral antiplatelet medications (standard treatment for coronary disease and blood clots), forcing surgical intervention instead.

Read More on RethinkTHC

Cite This Study

RTHC-03267·https://rethinkthc.com/research/RTHC-03267

APA

Labrada, Lyana; Patil, Aadhar; Lakhter, Vladimir; Minakata, Kenji; Islam, Sabrina. (2021). Aortic Mural Thrombus and Acute Coronary Syndrome in a Patient With Cannabinoid Hyperemesis Syndrome.. JACC. Case reports, 3(4), 694-696. https://doi.org/10.1016/j.jaccas.2021.02.020

MLA

Labrada, Lyana, et al. "Aortic Mural Thrombus and Acute Coronary Syndrome in a Patient With Cannabinoid Hyperemesis Syndrome.." JACC. Case reports, 2021. https://doi.org/10.1016/j.jaccas.2021.02.020

RethinkTHC

RethinkTHC Research Database. "Aortic Mural Thrombus and Acute Coronary Syndrome in a Patie..." RTHC-03267. Retrieved from https://rethinkthc.com/research/labrada-2021-aortic-mural-thrombus-and

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.