From the American Heart Association
Chest pain is fairly common among cocaine users and accounts for 40 percent of emergency room visits by cocaine users, making it the most common reason behind visits.
There are other common cardiovascular problems that cocaine users often experience. include high blood pressure, enlarged ventricles arteries to narrow, inflammation , angina, heart attack and death. Rapid heart rate and abnormal rhythms are also common , even amongst sporadic users.
Interestingly, it is difficult to identify unless the patient admits drug usage, It appears there are there are no easy way of repairing this damage.