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Cannabis use is associated with prevalent coronary artery disease.

Publication ,  Journal Article
Skipina, TM; Patel, N; Upadhya, B; Soliman, EZ
Published in: Am J Med Sci
September 2022

BACKGROUND: Cannabis is associated with risk of acute coronary syndrome in observational studies. However, its association with prevalent coronary artery disease (CAD) remains unclear. We hypothesized that cannabis use is associated with prevalent CAD. METHODS: This analysis included 12,543 participants (age 39.3 ± 11.6 years, 48.8% male, 35.3% Caucasians) from The National Health and Nutrition Examination Survey (NHANES). Cannabis use was self-reported. Prevalent CAD was defined by physician diagnosis. The association between cannabis use and CAD was tested for using multivariable logistic regression. RESULTS: About 53.1% (n = 6,650) of participants were ever cannabis users and 1.1% (n = 137) had prevalent CAD. Ever (versus never) cannabis users had 90% increased odds of CAD [OR (95% CI): 1.90 (1.24 - 2.93), p = 0.003]. Those who had used cannabis at least once per month for at least one year had 68% increased odds of CAD [OR (95% CI): 1.68 (1.02-2.77), p = 0.04]. Current cannabis users had near 98% increased odds of CAD [OR (95% CI): 1.98 (1.11 - 3.54), p = 0.02]. Similar results were seen with heavy cannabis users [OR (95% CI): 1.99 (1.02 - 3.89), p = 0.045]. These results were consistent in subgroups stratified by race, gender, hypertension, obesity, COPD, hyperlipidemia, tobacco smoking status, and diabetes. CONCLUSIONS: Cannabis use is associated with prevalent CAD. This finding emphasizes the potential harmful effects of cannabis use on cardiovascular health and highlights the need for further research as it becomes more accepted at both a national and global level.

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Published In

Am J Med Sci

DOI

EISSN

1538-2990

Publication Date

September 2022

Volume

364

Issue

3

Start / End Page

304 / 308

Location

United States

Related Subject Headings

  • Risk Factors
  • Nutrition Surveys
  • Middle Aged
  • Male
  • Logistic Models
  • Humans
  • General & Internal Medicine
  • Female
  • Coronary Artery Disease
  • Cannabis
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Skipina, T. M., Patel, N., Upadhya, B., & Soliman, E. Z. (2022). Cannabis use is associated with prevalent coronary artery disease. Am J Med Sci, 364(3), 304–308. https://doi.org/10.1016/j.amjms.2022.04.005
Skipina, Travis M., Nikhil Patel, Bharathi Upadhya, and Elsayed Z. Soliman. “Cannabis use is associated with prevalent coronary artery disease.Am J Med Sci 364, no. 3 (September 2022): 304–8. https://doi.org/10.1016/j.amjms.2022.04.005.
Skipina TM, Patel N, Upadhya B, Soliman EZ. Cannabis use is associated with prevalent coronary artery disease. Am J Med Sci. 2022 Sep;364(3):304–8.
Skipina, Travis M., et al. “Cannabis use is associated with prevalent coronary artery disease.Am J Med Sci, vol. 364, no. 3, Sept. 2022, pp. 304–08. Pubmed, doi:10.1016/j.amjms.2022.04.005.
Skipina TM, Patel N, Upadhya B, Soliman EZ. Cannabis use is associated with prevalent coronary artery disease. Am J Med Sci. 2022 Sep;364(3):304–308.
Journal cover image

Published In

Am J Med Sci

DOI

EISSN

1538-2990

Publication Date

September 2022

Volume

364

Issue

3

Start / End Page

304 / 308

Location

United States

Related Subject Headings

  • Risk Factors
  • Nutrition Surveys
  • Middle Aged
  • Male
  • Logistic Models
  • Humans
  • General & Internal Medicine
  • Female
  • Coronary Artery Disease
  • Cannabis