ABSTRACT Background As marijuana use increases globally, understanding its cardiovascular impact is crucial. This study investigates the relationship between marijuana use patterns and coronary heart disease (CHD) risk. Methods Using 2023 Behavioral Risk Factor Surveillance System data, we conducted cross‐sectional analysis examining marijuana consumption methods (smoking, vaping, eating, dabbing) and CHD risk. Multivariable logistic regression assessed associations while controlling for demographic variables and established cardiovascular risk factors. Results Significant associations emerged between various marijuana consumption methods and increased CHD risk. Individuals engaging in both smoking and vaping showed significantly higher CHD risk. Combined consumption methods, particularly smoking and eating, further compounded risk among those with pre‐existing cardiovascular risk factors. Traditional risk factors including hypertension, diabetes, and obesity remained critical CHD predictors. Conclusion This study reveals complex relationships between marijuana use patterns and CHD risk, emphasizing the need for comprehensive public health strategies addressing cardiovascular implications of marijuana consumption. As usage rises, particularly among younger populations, healthcare providers and policymakers must educate individuals about potential cardiovascular risks associated with different consumption methods. Further research is needed to elucidate mechanisms and inform future guidelines for CHD risk reduction.
Shen et al. (Mon,) studied this question.