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During primary percutaneous coronary intervention, cineangiography revealed substantial thrombus burden in the first acute marginal branch of the right coronary artery. He successfully underwent aspiration thrombectomy with subsequent angioplasty with a drug-coated balloon and guideline-directed medical therapy, including direct oral anticoagulation. The clinician should be cognizant of the association between ACS and both acute and chronic cannabis consumption.<\/jats:p>","DOI":"10.1177\/23247096261435473","type":"journal-article","created":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T10:13:37Z","timestamp":1774692817000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Suspected Cannabis-Induced Acute Coronary Syndrome and Advanced Heart block"],"prefix":"10.1177","volume":"14","author":[{"given":"Matthew","family":"Maharaj","sequence":"first","affiliation":[{"name":"North Central Regional Health Authority, Mt Hope, Trinidad and Tobago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pravin","family":"Nanga","sequence":"additional","affiliation":[{"name":"St George\u2019s University School of Medicine, Grenada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0401-1918","authenticated-orcid":false,"given":"Arun","family":"Katwaroo","sequence":"additional","affiliation":[{"name":"North West Regional Health Authority, Port of Spain, Trinidad and Tobago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priya","family":"Ramcharan","sequence":"additional","affiliation":[{"name":"North Central Regional Health Authority, Mt Hope, Trinidad and Tobago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valmiki","family":"Seecheran","sequence":"additional","affiliation":[{"name":"North Central Regional Health Authority, Mt Hope, Trinidad and Tobago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajeev","family":"Seecheran","sequence":"additional","affiliation":[{"name":"University of New Mexico Medical Center, Albuquerque, NM, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rishi","family":"Ramtahal","sequence":"additional","affiliation":[{"name":"University of the West Indies, St Augustine, Trinidad and Tobago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9838-7148","authenticated-orcid":false,"given":"Neal","family":"Bhagwandass","sequence":"additional","affiliation":[{"name":"University of the West Indies, St Augustine, Trinidad and Tobago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7779-0181","authenticated-orcid":false,"given":"Naveen","family":"Seecheran","sequence":"additional","affiliation":[{"name":"University of the West Indies, St Augustine, Trinidad and Tobago"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,28]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjco.2020.09.001"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/molecules27051689"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.2147\/ITT.S267905"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/15563650.2019.1601735"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/hearts5040030"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.966707"},{"key":"e_1_3_2_8_2","unstructured":"Cannabis and Public Health (Internet). 2025. 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