{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T10:49:22Z","timestamp":1792752562902,"version":"4.5.0"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T00:00:00Z","timestamp":1629849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Addict"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Recent observations indicate that cannabis use can result in cardiovascular complications including arrhythmias. We studied the relationship between cannabis use disorder (CUD) and arrhythmia hospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a retrospective analysis of the Nationwide Inpatient Sample (2010\u20132014). Patients (age 15\u201354) with a primary diagnosis for arrhythmia (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009570,556) were compared with non\u2010arrhythmia (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200967,662,082) inpatients for odds ratio (OR) of CUD by the logistic regression model, adjusted for demographics\u00a0and comorbid risk factors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The incidence of CUD in arrhythmia inpatients was 2.6%. Among cannabis users, the most prevalent arrhythmia was atrial fibrillation (42%), followed by other arrhythmias (24%) and atrial flutter (8%). Patients with CUD were younger (15\u201324 years, OR: 4.23), male (OR: 1.70), and African American (OR: 2.70). CUD was associated with higher odds of arrhythmia hospitalization in the young population, 1.28 times in 15\u201324 years (95% confidence interval [CI]: 1.229\u20131.346) and 1.52 times in 25\u201334 years (95% CI: 1.469\u20131.578).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion and Scientific Significance<\/jats:title>\n                    <jats:p>With the growing legalization in the United States, there is an increased use of medicinal\/recreational cannabis. This is the first national study to our knowledge that found that CUD is associated with a 47%\u201352% increased likelihood of arrhythmia hospitalization in the younger population and the risk of association was controlled for potential confounders including other substances. The fact that atrial fibrillation is the most prevalent arrhythmia is of special concern since it can result in stroke and other embolic events. Physicians need to familiarize themselves with cannabis abuse or dependence as a risk factor for arrhythmia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajad.13215","type":"journal-article","created":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T12:18:39Z","timestamp":1629893919000},"page":"578-584","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Cannabis use disorder and increased risk of arrhythmia\u2010related hospitalization in young adults"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2895-9155","authenticated-orcid":false,"given":"Rikinkumar S.","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Psychiatry Griffin Memorial Hospital  Norman Oklahoma USA"},{"name":"Department of Psychiatry and Behavioral Sciences Oklahoma State University  Tulsa Oklahoma USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario D.","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Electrophysiology, Penn State Milton S. Hershey Medical Center Penn State Heart &amp; Vascular Institute  Hershey Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Temitope","family":"Ajibawo","sequence":"additional","affiliation":[{"name":"Department of Medicine Brookdale University Hospital Medical Center  Brooklyn New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raman","family":"Baweja","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Health Penn State Milton S. Hershey Medical Center  Hershey Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.98.10.946"},{"key":"e_1_2_9_3_1","unstructured":"National Heart Lung and Blood Institute. Arrhythmia. 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