A cross-sectional study to assess the cardiovascular risk of chronic cannabis smoking through electrocardiograph (ECG)

Emerging trends in drugs, addictions, and health Pub Date : 2021-01-01 DOI:10.1016/j.etdah.2021.100026

Pawan Kumar Shukla , Rishi Sharma , Raviprakash Meshram , Anindya Das , Binaya Kumar Bastia

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Abstract

Background

Cannabis is one of the most consumed illicit drugs in India. Long term effects of cannabis smoking on the cardiovascular system are still not fully known. The present study explores cardiovascular abnormalities in asymptomatic cannabis smokers by comparing their electrocardiogram (ECG) with tobacco smokers and non-smokers.

Methods

The study included 50 participants in each of the three groups: cannabis, tobacco and non-smokers, between the age group 18–40 years. ECG was recorded and the following parameters were compared: Age, Heart rate, RR-interval, P-wave, PR-interval, QRS-complex, QT-interval, QTc-interval, ST-segment and T-wave duration.

Results

The mean age of cannabis smokers, tobacco smokers, and non-smokers were 26.44, 31.22 and 31.34, respectively. Cannabis smokers were younger than tobacco smokers and non-smokers. All the participants reported to us were males. The QRS complex duration was shortened in cannabis smokers compared to tobacco smokers. The ST-segment duration was shorter among tobacco smokers compared to non-smokers.

Conclusions

The study proposes cannabis as a potential risk factor for adverse cardiac events as an acute and chronic effect. Clinicians could also use our findings to correlate cardiac complaints of a cannabis dependent patient. ECG could be a quick and affordable modality for investigating such patients. The subjects of the cannabis group had younger age than subjects of the other groups.

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通过心电图(ECG)评估慢性大麻吸烟心血管风险的横断面研究

大麻是印度消费最多的非法毒品之一。吸食大麻对心血管系统的长期影响尚不完全清楚。本研究通过比较吸烟者和非吸烟者的心电图，探讨无症状大麻吸烟者的心血管异常。该研究包括50名参与者，年龄在18-40岁之间，分别分为吸食大麻、吸烟和不吸烟三组。记录心电图，比较年龄、心率、rr -间期、p波、pr -间期、qrs复合体、qt -间期、qtc -间期、st段、t波持续时间。结果吸食大麻者、吸烟者和不吸烟者的平均年龄分别为26.44岁、31.22岁和31.34岁。吸食大麻的人比吸烟和不吸烟的人年轻。所有向我们报告的参与者都是男性。大麻吸烟者的QRS复合体持续时间比烟草吸烟者短。吸烟者的st段持续时间比不吸烟者短。结论:该研究提出大麻作为急性和慢性不良心脏事件的潜在危险因素。临床医生也可以使用我们的发现来关联大麻依赖患者的心脏疾病。心电图可能是一种快速和负担得起的方式来调查这类患者。大麻组的受试者比其他组的受试者年龄小。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Emerging trends in drugs, addictions, and health Pharmacology, Psychiatry and Mental Health, Forensic Medicine, Drug Discovery, Pharmacology, Toxicology and Pharmaceutics (General)

CiteScore

2.40

自引率

0.00%

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