How can ecstasy cause death?

Ecstasy, or MDMA, can lead to death through several mechanisms, primarily due to its effects on the cardiovascular and thermoregulatory systems. It can cause severe dehydration, hyperthermia (overheating), and electrolyte imbalances, which can result in organ failure. Additionally, MDMA can increase heart rate and blood pressure, potentially leading to heart attacks or strokes, especially in individuals with pre-existing health conditions. Overdose can also occur, particularly when combined with other substances, leading to toxic effects on the brain and other organs.