In addition to oral effects, cannabis smoking has been implicated in cardiovascular disease. A recent systematic review reports atrial fibrillation, increased heart rate, and a risk for postural hypotension in healthy men who used marijuana.20 In older adults cardiovascular changes led to angina attacks from lack of oxygenated blood in cardiac muscle.18 For more information about the oral implications of marijuana, please see the following course on dentalcare.com: Marijuana Use and Oral Health
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