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Meta-Analysis Links Cannabis to Double the Risk of Cardiovascular Death

Rising THC levels in legal markets prompt calls to apply tobacco-style controls to protect public health

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Overview

  • A pooled analysis of 24 observational studies covering about 200 million people found cannabis users face twice the risk of dying from cardiovascular disease along with 29% higher odds of acute coronary syndrome and a 20% greater risk of stroke.
  • Researchers observed these elevated heart and stroke risks even among young adults without prior cardiovascular conditions, suggesting effects independent of tobacco or existing health factors.
  • In an accompanying editorial, experts from UCSF and the Public Health Institute argue for tobacco-style measures including mandatory product warnings, public education campaigns and protections against secondhand exposure.
  • Investigators warn that average THC potency in legal cannabis products now runs five to ten times higher than in the 1970s, with concentrates reaching up to 99% purity and vaping cartridges exceeding 80% THC.
  • Emerging data indicate that non-smoking forms such as edibles also impair vascular function, reinforcing concerns that all methods of cannabis consumption carry significant cardiovascular hazards.