Article
1 October 1978

Effects of Smoking Marihuana on Left Ventricular Performance and Plasma Norepinephrine: Studies in Normal Men

Publication: Annals of Internal Medicine
Volume 89, Number 4

Abstract

In 14 healthy men we assessed the effects of smoking marihuana cigarettes containing 6 mg of delta-9-tetrahydrocannabinol on ultrasound measures of left ventricular function. Four of this group and four additional subjects also had measurements of plasma norepinephrine. Both heart rate and left ventricular performance (mean rate of internal diameter shortening [mean Vcf]) were significantly increased for at least 1 h after drug exposure compared with these values after placebo cigarettes. The immediate tachycardia and increase in mean Vcf were not accompanied by raised plasma norepinephrine levels. However, by 30 min after marihuana exposure, sympathetic neurotransmitter levels were significantly greater than both control values and those after placebo cigarettes, and they remained elevated for at least 2 h. Excessive sympathoadrenal discharge, as evidenced by augmented left ventricular function and prolonged catecholamine release, could adversely affect patients with heart disease.

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Information & Authors

Information

Published In

cover image Annals of Internal Medicine
Annals of Internal Medicine
Volume 89Number 41 October 1978
Pages: 448 - 452

History

Published in issue: 1 October 1978
Published online: 1 December 2008

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Authors

Affiliations

ARNOLD GASH, M.D.
San Diego, California; and Bethesda, Maryland
JOEL S. KARLINER, M.D., F.A.C.P.
San Diego, California; and Bethesda, Maryland
DAVID JANOWSKY, M.D.
San Diego, California; and Bethesda, Maryland
CHARLES R. LAKE, M.D., Ph.D.
San Diego, California; and Bethesda, Maryland
▸From the Cardiology Division, Department of Medicine; and the Department of Psychiatry, University of California; San Diego, California; and the National Institute of Mental Health, Bethesda, Maryland.

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ARNOLD GASH, JOEL S. KARLINER, DAVID JANOWSKY, et al. Effects of Smoking Marihuana on Left Ventricular Performance and Plasma Norepinephrine: Studies in Normal Men. Ann Intern Med.1978;89:448-452. doi:10.7326/0003-4819-89-4-448

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