Evidence map›Paper›PMID 28815091›Full record

ArticleCase reports in cardiology2017

"Spice" (Synthetic Marijuana) Induced Acute Myocardial Infarction: A Case Series.

E Ul Haq, A Shafiq, A A Khan, A A Awan, S Ezad, W J Minteer, B Omar

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

E Ul HaqUniversity of South Alabama, Mobile, AL, USA.ORCID 0000-0002-1088-7974
A ShafiqSaint Luke's Mid America Heart Institute, Kansas City, MO, USA.ORCID 0000-0001-6261-9595
A A KhanJohn Hunter Hospital, Newcastle, NSW, Australia.
A A AwanHattiesburg Clinic, Hattiesburg, MS, USA.ORCID 0000-0003-0512-8292
S EzadJohn Hunter Hospital, Newcastle, NSW, Australia.
W J MinteerAppalachian Regional Healthcare, Cardiology Department, Middlesboro, KY, USA.
B OmarUniversity of South Alabama, Mobile, AL, USA.ORCID 0000-0002-2987-9800
John Hunter Hospital · AUUniversity of South Alabama · USAppalachian Regional Healthcare · USHattiesburg Clinic · USSaint Luke's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Marijuana is the most widely abused "recreational" substance in the United States, with highest prevalence in young adults. It is reported to cause ischemic strokes, hepatitis, anxiety, and psychosis. Although it is associated with dose dependent tachycardia and can lead to coronary vasospasm, it has not been directly related to acute myocardial infarction (AMI). Marijuana induced coronary vasospasm can result in endothelial denudation at the site of a vulnerable atherosclerotic plaque in response to hemodynamic stressors, potentially causing an AMI. Spice refers to herbal mixture with composition and effects similar to that of marijuana and therefore is referred to as "synthetic marijuana." Herein, we report 3 cases of spice induced ST-segment elevation myocardial infarction. All patients were relatively young and had few or absolutely no risk factors for cardiovascular disease. All patients underwent emergent coronary angiography, with two needing stent placement and the third requiring only aspiration thrombectomy. Our case series emphasizes the importance of suspecting and investigating synthetic marijuana use in low risk young adults presenting with AMI.

Identifiers

PMID28815091
PMCPMC5549476
OpenAlexW2736417523

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.