What is an example of a long-term effect of cocaine use?

Cocaine use can lead to a variety of long-term health effects, one of which is cardiovascular issues. Chronic use of cocaine contributes to the development of serious heart conditions. This occurs through mechanisms such as increased heart rate, elevated blood pressure, and the risk of heart attack or stroke due to the drug's stimulant properties. Over time, these factors can lead to more severe complications, such as cardiomyopathy, where the heart muscle weakens and deteriorates.

Other options may seem relevant but do not represent the primary long-term effects associated with cocaine use. For instance, while respiratory issues can arise from methods of cocaine use that involve inhalation, they are not as significant or common in the context of long-term repercussions compared to cardiovascular problems. Weight gain is not typically associated with cocaine use, as the drug tends to suppress appetite. Lastly, improved mental health is not a long-term effect of cocaine use; instead, chronic use can lead to negative mental health outcomes, including anxiety and depression.