Literally just wrote about that: https://news.ycombinator.com/item?id=48794178
> I've smoked cannabis daily for maybe 15 years [...] Visited a cardiologist like two months ago and have perfectly fine heart despite the smoking.
Many people have had cardiologists say they have perfectly fine hearts go on to have heart attacks months later. My brother was one of these people. He was going in for spinal surgery, cardio said his heart was fine. Two weeks after surgery he was short of breath. Turns out he needed a triple bypass.
And that was a physical change. Heart attacks happen because of electrocardiac issues as well.
I have been a heavy cannabis user (like that guy in the Bob Marley song who "smokes two joints in the morning, smokes two joints at night") on and off from my mid 20's onward. I've also been a heavy exerciser and have the constellation of symptoms known as "athlete's heart" including an A-Fib diagnosis that I don't really believe [1] as well as concerning findings that may or not really be concerning because doctors don't know to evaluate us. I'm the kind of person who might get told by a doctor to exercise less instead of more!
Mostly it's been smoking, though I've had access to edibles and was lately impressed by cannabis beverages that contain 10mg of THC and some CBD that give an experience competitive to drinking alcohol. I find it easy to not use it if is not around, but once I get into it I will keep using it and quitting is a few days of hell followed by almost forgetting it ever existed. But maybe I get depressed a bit a few months later and think "I will feel better if I use" and then I will use for a few weeks to months, start feeling strung out and quit. Never dabbed, I haven't found a vape I like the way I like smoking but for me it has always been green weed, not extracts. It is legal to grow in NY and I know enough amateur and pro growers who owe me a favor that I rarely have to pay for weed and don't expect to ever go into a dispensary.
I do know that I gain/lose several kg of wait depending on if I am using cannabis. Despite being rather athletic and having a lot of lean muscle mass I have many signs of "metabolic syndrome" including somewhat high blood sugar, blood pressure, etc. [2] I am off cannabis now and just started Zepbound which I am hoping will help with my metabolic syndrome.
[1] once i got into a biosignals hobby and started looking at EEG traces to evaluate heart rate variability where I often can't make out the P wave on a two or three lead ECG, how can you say 20 beats out a million were bad with any accuracy?
[2] with somewhat aggressive pharmacological treatment including high dose fish oil without which my triglycerides would have another 0 on the right; showed up my docs with a sheaf of pubmed abstracts, switched to Montelukast as my asthma controller because it may be cardioprotective whereas my academic advisor and galactic astronomer Edwin Salpeter and his daughter wrote a paper finding LABAs are probably the opposite; my pulmonologist switched me to using a LABA/Steroid inhaler for rescue because a recent study has shown that the holy grail of "just one inhaler" has been attained for a lot of people and the LABA isn't much slower to hit than Albuterol. Also added Nebivolol as a BP med which I think should be more popular than it is.
That's a weird statement. I don't think I'll ever visit a cardiologist (as a patient) unless I had a suspicion of heart disease. Is it common to get checked out by specialists for no reason in your locale?