During an autopsy, a female victim presents with pulmonary congestion and edema. Her lungs weigh three to four times the normal weight. A closer inspection of her heart revealed that her right ventricle was unusually distended and the pulmonary artery was full. There was also focal heart muscle damage with resulting cross-brand necrosis, indicating hyper contraction of the heart muscle. During the external examination, the woman appeared relatively healthy. One small detail was she had fenestration of the nasal septum. A urine sample revealed the presence of coca ethylene.
What was the cause of death?
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