Concerns About Recommendations for Perioperative Cannabis Use/Concerns About Recommendations for Perioperative Cannabis Use/Concerns About Recommendations for Perioperative Cannabis Use-Reply

Stewart and Fong thank Ladha et al and Davidson et al for their Letters to the Editor regarding their Review article on perioperative cannabis and for bringing some additional published research to the forefront. This includes a recent retrospective study demonstrating the association of cannabis use disorder with perioperative myocardial infarction. It should be noted that regular cannabis use is not synonymous with cannabis use disorder and that 42% of these patients were also tobacco smokers,potentially confounding examination of perioperative cardiac events. However, they agree that given the known association of cannabis use with tachycardia, caution should be used in patients with a predisposition to cardiac disorders.