The Drug-Induced Respiratory Disease Website

Marijuana, cannabis (haschish, hash, bang, dab)

Heart block (bundle branch- or AV-)

AV block may be complete and/or irreversible

Akins D, Awdeh MR

Marijuana and second-degree AV block.

Southern medical journal 1981 Mar;74;371-3 — 1981 Mar — 371-3

Diagnosing DIRD

Drug and radiation history

Drug singularity - Correct identification of the drug

Consistent timing of exposure v. onset of symptoms

Clinical, imaging, BAL, pathological pattern consistent with the specific drug

Careful exlusion of another cause

Remission of symptoms with removal of drug

Recurrence with rechallenge (rarely advisable)

Causality assessment

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