PSYCHOLOGY OF EMOTIONS

Detailed explanation-1: -At low doses, cocaine-induced sympathetic effects increase heart rate, blood pressure, and myocardial contractibility, leading to increased myocardial oxygen demand [33]. Cocaine also enhances coronary spasm/vasoconstriction and platelet adherence/thrombosis, leading to reduced myocardial oxygen supply [34].

Detailed explanation-2: -Stimulants including cocaine and methamphetamine can produce damaging cardiovascular effects and initiate and perpetuate various arrhythmias.

Detailed explanation-3: -Chest pain following cocaine use is a common presenting symptom. The majority of patients are young, male, smokers and have a previous history of cocaine abuse. The differential diagnosis of cocaine-induced chest pain includes: aortic dissection.