Finding into death of Mr P

53y · Male·Coronary artery atherosclerosis and cardiomegaly in a man using synthetic cannabinoids

A 53-year-old man died of sudden cardiac arrhythmia while travelling on a train. Autopsy revealed coronary artery atherosclerosis and cardiomegaly, with toxicology showing synthetic cannabinoid (Cumyl-PeGACLONE) use. The coroner found the death was caused by natural disease in the context of illicit drug use. Key clinical lesson: synthetic cannabinoids are known to induce cardiac arrhythmias and may be particularly dangerous in those with pre-existing cardiac disease. Clinicians should be aware of synthetic cannabinoid risks and be prepared to discuss harm reduction with patients who use such drugs. The coroner recommended Victorian health services develop training for clinicians on having conversations with patients about synthetic cannabinoid risks.