In all seriousness, people should absolutely go to the emergency room when having chest pain, whether cocaine related or not.

Cocaine can lead to multiple heart related issues like heart attack (myocardial infarction), splitting apart of the wall of the body’s largest artery (aortic dissection), inflammation of the heart (myocarditis), enlargement, thickening, or stiffening of the heart tissue (cardiomyopathy), bulging of the arteries of the heart (coronary artery aneurysm), and abnormal heart rhythms (arrhythmias).

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