{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:40:21Z","timestamp":1756284021323,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,5,12]]},"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>Cannabis is one of the most common illicit drugs and has been implicated with various complications which include stroke, acute myocardial infarction, arrhythmia and limb arteritis. We are reporting a case of a young man, who is a recreational cannabis smoker along with tobacco, who developed exertional progressive breathlessness for the last 4\u2009months, mild cough for 2\u2009months and acute left-sided hemiparesis along with ipsilateral facial palsy for 1\u2009day that was attributed to an acute right middle cerebral artery territory infarct. There was also gangrene in his left forearm as a result of left radial artery thrombosis. Non-ischaemic-dilated cardiomyopathy was found in contrast-enhanced cardiac MRI and he was managed in the line of decompensated heart failure; the right-hand gangrene was later amputated in the subsequent follow-ups. Hence, cannabis can lead to cardiomyopathy and resulting cardioembolism. The mainstay of management remains supportive and avoidance of the offending agent. Social education is the need of the hour.<\/jats:p>","DOI":"10.1136\/bcr-2021-243193","type":"journal-article","created":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T23:41:01Z","timestamp":1622590861000},"page":"e243193","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Recreational cannabis use causing non-ischaemic cardiomyopathy and cardioembolism in a young adult"],"prefix":"10.1136","volume":"14","author":[{"given":"Budha O","family":"Singh","sequence":"first","affiliation":[{"name":"Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3008-7245","authenticated-orcid":false,"given":"Prasan Kumar","family":"Panda","sequence":"additional","affiliation":[{"name":"Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohit","family":"Walia","sequence":"additional","affiliation":[{"name":"Cardiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,6,1]]},"reference":[{"key":"2025082701081090000_14.6.e243193.1","doi-asserted-by":"crossref","DOI":"10.1007\/s11883-017-0663-0","article-title":"What is the current knowledge about the cardiovascular risk for users of cannabis-based products? A systematic review","volume":"19","author":"Jouanjus","year":"2017","journal-title":"Curr Atheroscler Rep"},{"key":"2025082701081090000_14.6.e243193.2","first-page":"45","volume-title":"Cardiology and therapy","volume":"7","author":"Singh","year":"2018"},{"key":"2025082701081090000_14.6.e243193.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2013.01.002"},{"key":"2025082701081090000_14.6.e243193.4","doi-asserted-by":"publisher","DOI":"10.1097\/00005344-200304000-00020"},{"key":"2025082701081090000_14.6.e243193.5","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.jemermed.2018.12.013","article-title":"Recurrent cardiogenic shock associated with cannabis use: report of a case and review of the literature","volume":"56","author":"Grigoriadis","year":"2019","journal-title":"J Emerg Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-243193","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:08:18Z","timestamp":1756282098000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-243193"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":5,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2021,6,1]]},"published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1136\/bcr-2021-243193"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-243193","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,6]]}}}