Cardiovascular risk

Quantified risk

OutcomeRelative risk
Acute coronary syndrome1.29
Stroke1.20
Cardiovascular death2.10
Daily use — MI1.49 (some datasets)
Daily use — stroke2.16 (some datasets)

Signal appears strongest with smoked cannabis (particle inhalation, rapid catecholamine release).

Mechanism

  • Acute: sympathetic activation → HR rise, BP increase
  • THC-induced platelet activation possible
  • Smoking adds particulate matter cardiovascular burden

Vitals interpretation

Not cardiovascularly neutral. Risk is modest in absolute terms for healthy occasional users but non-trivial for deconditioned users, those with existing CVD, or daily smokers.

Cannabis, HRV signatures, Cannabis detection model, Asundexian