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Friday, February 5, 2021
The Spokesman-Review
HEALTH & SCIENCE
The heart of the matter By Dan Webster
EVERCANNABIS CORRESPONDENT
For most of the past year, COVID-19 reigned as the worldâs main health concern. Yet even then, as now, the No. 1 cause of death around the world involved the human heart. Thatâs according to the World Health Organization, which says the âworldâs biggest killer is ischemic heart diseaseâ â defined as heart problems caused by narrowed heart arteries. âSince 2000,â the WHO reports, âthe largest increase in deaths has been for this disease, rising by more than 2 million to 8.9 million deaths in 2019.â Hereâs the bad news for those who smoke cannabis: Not only can doing so cause an undue strain on your heart, itâs also particularly harmful for those with an established history of heart disease.
Cardiac studies present mixed results
A 2017 story in Harvard Health Publishing, a newsletter published by Harvard Medical School, cites research that indicates that cannabinoid effects include âraising resting heart rate, dilating blood vessels and making the heart pump faster.â This may not mean much to those with otherwise healthy hearts, the story asserts, but âit should be a red flag for anyone with a history of heart disease.â Research conducted by the American Heart Association agrees with the WHO assessment, especially when it comes both to the methods of delivery (smoking or vaping as opposed to edibles, tinctures, etc.) and to the presence of THC. âMany consumers and health care professionals donât realize that cannabis smoke contains
components similar to tobacco smoke,â said Robert L. Page II, chair of the group that authored the AHA statement, which was released in August 2020. Furthermore, the AHA report linked âTHC-containing productsâ with such heart problems as âvascular inflammation and oxidative stress.â While emphasizing that cannabis may have benefits â among them relief from muscle stiffness associated with multiple sclerosis and neuropathic pain felt by those afflicted by Type 2 diabetes â the AHA report was clear in its evaluation of cannabis and the heart. âCannabis,â the report stated, âdoes not appear to have any well-documented benefits for the prevention or treatment of cardiovascular diseases.â
Yet the same report indicated that use of CBD â cannabis products with little or no THC â can actually be heart-healthy in a number of ways, from reducing heart rate and lowering blood pressure to lessening inflammation and increasing the ability for arteries to open. More good news regarding CBDs and heart health was announced during the summer of 2019 at a symposium held by the International Cannabinoid Research Society. The news involved a study that examined âthe acute and chronic effects of cannabinoid on cardiovascular function.â Conducted at Englandâs University of Nottingham, the study indicated that CBDs were capable of lowering blood pressure during stress.
While there were some issues involving tolerance to âchronic CBD administrationâ that concerned the researchers, spokeswoman Saoirse E. OâSullivan lauded the âpositive effect in vascular functionâ that the CBDs achieved. Such an effect, she added, âwarrants further investigation in relevant patient populations.â Further investigation, in fact, is the ongoing rallying cry for most cannabis researchers, including the chair of the AHA study mentioned above. âWe urgently need carefully designed, prospective short- and long-term studies regarding cannabis use and cardiovascular safety as it becomes increasingly available and more widely used,â Page said. âThe public needs fact-based, valid scientific information about cannabisâ effect on the heart and blood vessels.â