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Toxicological examination showed the presence of \u0394\u20109\u2010tetrahydrocannabinol, its main metabolite and cannabinol in blood and urine. Quali\u2010quantitative analysis revealed that \u0394\u20109\u2010tetrahydrocannabinol was taken within 2\u2009h of the onset of cardiovascular symptoms, according to circumstantial data. Post\u2010mortem toxicological results must take into account the degradation and post\u2010mortem redistribution of analytes. However, for any inference about the specific cardiovascular triggering effect of \u0394\u20109\u2010tetrahydrocannabinol intake, we maintain that cannabinoid analysis in blood samples must be considered an essential requirement to estimate the time of last intake and avoid incomplete documentation. The literature, combined with the present case report, highlights an association between marijuana use and negative cardiovascular events, although few authors have supported their conclusions with toxicological results. Thus, additional research is needed. Copyright \u00a9 2015 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/dta.1898","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T21:34:56Z","timestamp":1448487296000},"page":"56-62","source":"Crossref","is-referenced-by-count":22,"title":["Coronary thrombosis and marijuana smoking: a case report and narrative review of the literature"],"prefix":"10.1002","volume":"8","author":[{"given":"Daniela","family":"Marchetti","sequence":"first","affiliation":[{"name":"Institute of Public Health, Section of Legal Medicine Catholic University of Sacred Heart  L.go F. Vito, 1 00168 Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelico","family":"Spagnolo","sequence":"additional","affiliation":[{"name":"Institute of Public Health, Section of Legal Medicine Catholic University of Sacred Heart  L.go F. 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