Key Cardiovascular complications of cocaine:

• Myocardial ischemia and infarction
• Myocarditis and cardiomyopathy
• Aortic dissection
• Vessel thrombosis
• Stroke (usually hemorrhagic) 
• Visceral ischemia

Pearls:

• Cocaine and abdominal pain=mesenteric ischemia, hemoperitoneum (described)
• Cocaine and chest pain=MI, aortic dissection
• Cocaine and extremity pain=arterial thrombosis, aortic dissection
• ~ 6% of cocaine chest pain patients rule in for MI

References

 Restrepo CS, et al. Cardiovascular complications of cocaine: Imaging findings. Emerg Radiol 2008