Rising trend of acute myocardial infarction among young cannabis users: A 10-year nationwide gender and race stratified analysis

Department

Internal Medicine

Document Type

Article

Publication Title

International Journal of Cardiology. Cardiovascular Risk and Prevention

Abstract

Background: The use of cannabis has massively increased among younger patients due to increasing legalization and availability.

Methods: We performed a retrospective nationwide study using the Nationwide inpatient sample (NIS) database to analyze the trends of acute myocardial infarction (AMI) in young cannabis users and related outcomes among patients aged 18-49 years from 2007 to 2018, using ICD-9 and ICD-10 codes.

Results: Out of 819,175 hospitalizations, 230,497 (28%) admissions reported using cannabis. There was a significantly higher number of males (78.08% vs. 71.58%, p < 0.0001) and African Americans (32.22% vs. 14.06%, p < 0.0001) admitted with AMI and reported cannabis use. The incidence of AMI among cannabis users consistently increased from 2.36% in 2007 to 6.55% in 2018. Similarly, the risk of AMI in cannabis users among all races increased, with the biggest increase in African Americans from 5.69% to 12.25%. In addition, the rate of AMI in cannabis users among both sexes showed an upward trend, from 2.63% to 7.17% in males and 1.62%-5.12% in females.

Conclusion: The incidence of AMI in young cannabis users has increased in recent years. The risk is higher among males and African Americans.

First Page

200167

DOI

10.1016/j.ijcrp.2022.200167

Volume

16

Publication Date

3-1-2023

PubMed ID

36874042

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