Cannabis, possible cardiac deaths and the coroner in Ireland.

Hdl Handle:
http://hdl.handle.net/10147/229113
Title:
Cannabis, possible cardiac deaths and the coroner in Ireland.
Authors:
Tormey, W P
Affiliation:
Department of Biomedical Sciences, University of Ulster, Coleraine, Northern Ireland, UK, billtormey@gmail.com.
Citation:
Cannabis, possible cardiac deaths and the coroner in Ireland. 2012:notIr J Med Sci
Journal:
Irish journal of medical science
Issue Date:
10-Jan-2012
URI:
http://hdl.handle.net/10147/229113
DOI:
10.1007/s11845-011-0802-5
PubMed ID:
22231902
Abstract:
BACKGROUND: The elevated risk of triggering a myocardial infarction by smoking cannabis is limited to the first 2 h after smoking. AIM: To examine the possible role of cannabis in cardiac deaths. CASES AND RESULTS: From 3,193 coroners' cases over 2 years, there were 13 cases where the clinical information was compatible with a primary cardiac cause of death. An inquest was held in three cases. Myocardial infarction was the primary cause of death in 54%. Other causes were sudden adult death syndrome, sudden death in epilepsy, and poisoning by alcohol and diazepam. Cannabis was mentioned once only on a death certificate, but not as a cause of death. Blood delta9-tetrahydrocannabinol-carboxylic acid was recorded in one case and in no case was plasma tetrahydrocannabinol (THC) measured. CONCLUSIONS: To attribute sudden cardiac death to cannabis, plasma THC should be measured in the toxicology screen in coroners' cases where urine cannabinoids are positive. A positive urine cannabinoids immunoassay alone is insufficient evidence in the linkage of acute cardiac death and cannabis.
Item Type:
Article
Language:
en
ISSN:
1863-4362

Full metadata record

DC FieldValue Language
dc.contributor.authorTormey, W Pen_GB
dc.date.accessioned2012-06-15T13:33:03Z-
dc.date.available2012-06-15T13:33:03Z-
dc.date.issued2012-01-10-
dc.identifier.citationCannabis, possible cardiac deaths and the coroner in Ireland. 2012:notIr J Med Scien_GB
dc.identifier.issn1863-4362-
dc.identifier.pmid22231902-
dc.identifier.doi10.1007/s11845-011-0802-5-
dc.identifier.urihttp://hdl.handle.net/10147/229113-
dc.description.abstractBACKGROUND: The elevated risk of triggering a myocardial infarction by smoking cannabis is limited to the first 2 h after smoking. AIM: To examine the possible role of cannabis in cardiac deaths. CASES AND RESULTS: From 3,193 coroners' cases over 2 years, there were 13 cases where the clinical information was compatible with a primary cardiac cause of death. An inquest was held in three cases. Myocardial infarction was the primary cause of death in 54%. Other causes were sudden adult death syndrome, sudden death in epilepsy, and poisoning by alcohol and diazepam. Cannabis was mentioned once only on a death certificate, but not as a cause of death. Blood delta9-tetrahydrocannabinol-carboxylic acid was recorded in one case and in no case was plasma tetrahydrocannabinol (THC) measured. CONCLUSIONS: To attribute sudden cardiac death to cannabis, plasma THC should be measured in the toxicology screen in coroners' cases where urine cannabinoids are positive. A positive urine cannabinoids immunoassay alone is insufficient evidence in the linkage of acute cardiac death and cannabis.en_GB
dc.languageENG-
dc.language.isoenen
dc.rightsArchived with thanks to Irish journal of medical scienceen_GB
dc.titleCannabis, possible cardiac deaths and the coroner in Ireland.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Biomedical Sciences, University of Ulster, Coleraine, Northern Ireland, UK, billtormey@gmail.com.en_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinsteren

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