Rising trend of acute myocardial infarction among young cannabis users: A 10-year nationwide gender and race stratified analysis

Harigopal Sandhyavenu; Harsh P. Patel; Riddhiben H. Patel; Rohan Desai; Achint A. Patel; Bhavin A. Patel; Jaimin Patel; Salman Zahid; Safi U. Khan; Abhishek Deshmukh; Khurram Nasir; Christopher V. DeSimone; Sourbha S. Dani; Samarthkumar Thakkar

doi:10.1016/j.ijcrp.2022.200167

Rising trend of acute myocardial infarction among young cannabis users: A 10-year nationwide gender and race stratified analysis

Harigopal Sandhyavenu, Harsh P. Patel, Riddhiben H. Patel, Rohan Desai, Achint A. Patel, Bhavin A. Patel, Jaimin Patel, Salman Zahid, Safi U. Khan, Abhishek Deshmukh, Khurram Nasir, Christopher V. DeSimone, Sourbha S. Dani, Samarthkumar Thakkar

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

BACKGROUND: The use of cannabis has massively increased among younger patients due to increasing legalization and availability.

METHODS: We performed a retrospective nationwide study using the Nationwide inpatient sample (NIS) database to analyze the trends of acute myocardial infarction (AMI) in young cannabis users and related outcomes among patients aged 18-49 years from 2007 to 2018, using ICD-9 and ICD-10 codes.

RESULTS: Out of 819,175 hospitalizations, 230,497 (28%) admissions reported using cannabis. There was a significantly higher number of males (78.08% vs. 71.58%, p < 0.0001) and African Americans (32.22% vs. 14.06%, p < 0.0001) admitted with AMI and reported cannabis use. The incidence of AMI among cannabis users consistently increased from 2.36% in 2007 to 6.55% in 2018. Similarly, the risk of AMI in cannabis users among all races increased, with the biggest increase in African Americans from 5.69% to 12.25%. In addition, the rate of AMI in cannabis users among both sexes showed an upward trend, from 2.63% to 7.17% in males and 1.62%-5.12% in females.

CONCLUSION: The incidence of AMI in young cannabis users has increased in recent years. The risk is higher among males and African Americans.

Original language	English (US)
Article number	200167
Pages (from-to)	200167
Journal	International Journal of Cardiology: Cardiovascular Risk and Prevention
Volume	16
DOIs	https://doi.org/10.1016/j.ijcrp.2022.200167
State	Published - Mar 2023

Keywords

Acute myocardial infarction
Black adults
Cannabis use
Disparity
Young

ASJC Scopus subject areas

Internal Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.ijcrp.2022.200167

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Sandhyavenu, H., Patel, H. P., Patel, R. H., Desai, R., Patel, A. A., Patel, B. A., Patel, J., Zahid, S., Khan, S. U., Deshmukh, A., Nasir, K., DeSimone, C. V., Dani, S. S., & Thakkar, S. (2023). Rising trend of acute myocardial infarction among young cannabis users: A 10-year nationwide gender and race stratified analysis. International Journal of Cardiology: Cardiovascular Risk and Prevention, 16, 200167. Article 200167. https://doi.org/10.1016/j.ijcrp.2022.200167

Rising trend of acute myocardial infarction among young cannabis users: A 10-year nationwide gender and race stratified analysis. / Sandhyavenu, Harigopal; Patel, Harsh P.; Patel, Riddhiben H. et al.
In: International Journal of Cardiology: Cardiovascular Risk and Prevention, Vol. 16, 200167, 03.2023, p. 200167.

Research output: Contribution to journal › Article › peer-review

Sandhyavenu, H, Patel, HP, Patel, RH, Desai, R, Patel, AA, Patel, BA, Patel, J, Zahid, S, Khan, SU, Deshmukh, A, Nasir, K, DeSimone, CV, Dani, SS & Thakkar, S 2023, 'Rising trend of acute myocardial infarction among young cannabis users: A 10-year nationwide gender and race stratified analysis', International Journal of Cardiology: Cardiovascular Risk and Prevention, vol. 16, 200167, pp. 200167. https://doi.org/10.1016/j.ijcrp.2022.200167

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title = "Rising trend of acute myocardial infarction among young cannabis users: A 10-year nationwide gender and race stratified analysis",

abstract = "BACKGROUND: The use of cannabis has massively increased among younger patients due to increasing legalization and availability.METHODS: We performed a retrospective nationwide study using the Nationwide inpatient sample (NIS) database to analyze the trends of acute myocardial infarction (AMI) in young cannabis users and related outcomes among patients aged 18-49 years from 2007 to 2018, using ICD-9 and ICD-10 codes.RESULTS: Out of 819,175 hospitalizations, 230,497 (28\%) admissions reported using cannabis. There was a significantly higher number of males (78.08\% vs. 71.58\%, p < 0.0001) and African Americans (32.22\% vs. 14.06\%, p < 0.0001) admitted with AMI and reported cannabis use. The incidence of AMI among cannabis users consistently increased from 2.36\% in 2007 to 6.55\% in 2018. Similarly, the risk of AMI in cannabis users among all races increased, with the biggest increase in African Americans from 5.69\% to 12.25\%. In addition, the rate of AMI in cannabis users among both sexes showed an upward trend, from 2.63\% to 7.17\% in males and 1.62\%-5.12\% in females.CONCLUSION: The incidence of AMI in young cannabis users has increased in recent years. The risk is higher among males and African Americans.",

keywords = "Acute myocardial infarction, Black adults, Cannabis use, Disparity, Young",

author = "Harigopal Sandhyavenu and Patel, \{Harsh P.\} and Patel, \{Riddhiben H.\} and Rohan Desai and Patel, \{Achint A.\} and Patel, \{Bhavin A.\} and Jaimin Patel and Salman Zahid and Khan, \{Safi U.\} and Abhishek Deshmukh and Khurram Nasir and DeSimone, \{Christopher V.\} and Dani, \{Sourbha S.\} and Samarthkumar Thakkar",

note = "{\textcopyright} 2023 The Authors.",

year = "2023",

month = mar,

doi = "10.1016/j.ijcrp.2022.200167",

language = "English (US)",

volume = "16",

pages = "200167",

journal = "International Journal of Cardiology: Cardiovascular Risk and Prevention",

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TY - JOUR

T1 - Rising trend of acute myocardial infarction among young cannabis users

T2 - A 10-year nationwide gender and race stratified analysis

AU - Sandhyavenu, Harigopal

AU - Patel, Harsh P.

AU - Patel, Riddhiben H.

AU - Desai, Rohan

AU - Patel, Achint A.

AU - Patel, Bhavin A.

AU - Patel, Jaimin

AU - Zahid, Salman

AU - Khan, Safi U.

AU - Deshmukh, Abhishek

AU - Nasir, Khurram

AU - DeSimone, Christopher V.

AU - Dani, Sourbha S.

AU - Thakkar, Samarthkumar

PY - 2023/3

Y1 - 2023/3

N2 - BACKGROUND: The use of cannabis has massively increased among younger patients due to increasing legalization and availability.METHODS: We performed a retrospective nationwide study using the Nationwide inpatient sample (NIS) database to analyze the trends of acute myocardial infarction (AMI) in young cannabis users and related outcomes among patients aged 18-49 years from 2007 to 2018, using ICD-9 and ICD-10 codes.RESULTS: Out of 819,175 hospitalizations, 230,497 (28%) admissions reported using cannabis. There was a significantly higher number of males (78.08% vs. 71.58%, p < 0.0001) and African Americans (32.22% vs. 14.06%, p < 0.0001) admitted with AMI and reported cannabis use. The incidence of AMI among cannabis users consistently increased from 2.36% in 2007 to 6.55% in 2018. Similarly, the risk of AMI in cannabis users among all races increased, with the biggest increase in African Americans from 5.69% to 12.25%. In addition, the rate of AMI in cannabis users among both sexes showed an upward trend, from 2.63% to 7.17% in males and 1.62%-5.12% in females.CONCLUSION: The incidence of AMI in young cannabis users has increased in recent years. The risk is higher among males and African Americans.

AB - BACKGROUND: The use of cannabis has massively increased among younger patients due to increasing legalization and availability.METHODS: We performed a retrospective nationwide study using the Nationwide inpatient sample (NIS) database to analyze the trends of acute myocardial infarction (AMI) in young cannabis users and related outcomes among patients aged 18-49 years from 2007 to 2018, using ICD-9 and ICD-10 codes.RESULTS: Out of 819,175 hospitalizations, 230,497 (28%) admissions reported using cannabis. There was a significantly higher number of males (78.08% vs. 71.58%, p < 0.0001) and African Americans (32.22% vs. 14.06%, p < 0.0001) admitted with AMI and reported cannabis use. The incidence of AMI among cannabis users consistently increased from 2.36% in 2007 to 6.55% in 2018. Similarly, the risk of AMI in cannabis users among all races increased, with the biggest increase in African Americans from 5.69% to 12.25%. In addition, the rate of AMI in cannabis users among both sexes showed an upward trend, from 2.63% to 7.17% in males and 1.62%-5.12% in females.CONCLUSION: The incidence of AMI in young cannabis users has increased in recent years. The risk is higher among males and African Americans.

KW - Acute myocardial infarction

KW - Black adults

KW - Cannabis use

KW - Disparity

KW - Young

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C2 - 36874042

AN - SCOPUS:85147018495

SN - 2772-4875

VL - 16

SP - 200167

JO - International Journal of Cardiology: Cardiovascular Risk and Prevention

JF - International Journal of Cardiology: Cardiovascular Risk and Prevention

M1 - 200167

ER -

Rising trend of acute myocardial infarction among young cannabis users: A 10-year nationwide gender and race stratified analysis

Abstract

Keywords

ASJC Scopus subject areas

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