Acute intoxication, which alone can be fatal, experts say
BNT News has the chemical toxicological expertise of Yavor Georgiev, conducted at the Military Medical Academy (VMA) in Sofia.
The toxicology report confirms the information initially reported by BNT —that a large quantity of cocaine was detected in the blood of Yavor Georgiev. According to experts, the drug was taken 2 to 4 hours before his death and was present at concentrations dozens of times above the normal levels.
The conclusion of the experts was that there was acute intoxication, which alone could lead to death.
The analysis also shows that cocaine was consumed in the presence of ethyl alcohol in Georgiev’s bloodstream.
This combination led to the formation of the metabolite cocaethylene, which is known for its high cardiotoxicity and potential to cause disturbances in heart rhythm and conduction.
From this, the common metabolite cocaethylene was obtained. It is highly cardiotoxic and can cause rhythm-conduction abnormalities in the heart.
According to the experts, alcohol—even in small quantities—amplifies the toxic effects of cocaine.
Their analysis further suggests that the substance combination can lead to cocaine-induced psychosis, a state involving acute psychiatric crisis. Symptoms typically include temporary loss of contact with reality and surroundings, paranoia, hallucinations, and delusions.
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Tensions rose in the coastal city of Varna following the death of 36-year-old Yavor Georgiev. Videos circulating on social media allegedly show police assaulting a man believed to be Georgiev, though this has not been officially confirmed. Georgiev died in a psychiatric hospital after calling emergency services about his mother’s supposed kidnapping and erratic behaviour. Police found him shirtless and without ID before transferring him to the hospital. While official reports show no signs of physical violence from the autopsy, Georgiev’s family suspects excessive force. Relatives and supporters have been protesting outside police and prosecutor offices, demanding a full investigation.
The young man died in a psychiatric hospital in Varna after he himself called emergency number 112. The incident occurred during the night before Saturday, June 7, and the circumstances surrounding his death are being investigated by the authorities.
According to initial information, the man called the police. Upon the arrival of the officers, he was in an incoherent state.
The officers called an ambulance and tried to calm him down, but after the emergency team arrived, the man became agitated and refused to get into the ambulance.
It was necessary to restrain him with handcuffs, after which he was taken to the psychiatric hospital in the city. Shortly thereafter, the man died despite the doctors’ efforts to resuscitate him.
Forensic medical and toxicological examinations have been ordered to clarify the case.
The autopsy revealed the presence of swelling in the brain and lungs, as well as other signs suggesting intoxication, stated Krasimir Konov, the regional prosecutor of Varna