I am married and with kids. the root to all my fear is past cocaine use. i was a chronic user for 3 years, 13 years ago. i have never been addicted and i am clean ever since. would cta show long term heart problems from drugs?

Probably no damage: If snorting Cocaine was the limit of what you used as recretional drugs, and stopped 13 years ago, it is unlikely to have caused any permanent damage and would likely not show anything on echocardiogram or angiogram. That is assuming that you have no symptoms or other heart problems from other reasons.

Not recommended: The problem with Cocaine is primarily rhythm problems during acute use. There can be long term effects (cardiomyopathy) which are less common. A simple echocardiogram will answer the question. A cta is not the test of choice and could even be normal despite past damage, exposes you to unnecessary radiation, and is much more expensive.

Probably: Cta of the coronary arteries is very good for showing problems with the vessels to the heart.

Please see doctor: And explain the situation. A consultation with a cardiologist may be helpful, and an echocardiogram would provide a way to evaluate heart and valve function without a lot of cost and no radiation. Make sure to get your high BP under control, and find out the cause of your chest pressure - again, the place to start is your doctor, with probable involvement of a cardiologist. Cta not a 1st step.