Acute myocardial infarction in a young bodybuilder taking anabolic androgenic steroids: A case report and critical review of the literature

被引:35
作者
Christou, Georgios A. [1 ]
Christou, Konstantinos A. [2 ]
Nikas, Dimitrios N. [2 ]
Goudevenos, John A. [2 ]
机构
[1] Univ Ioannina, Sch Med, Physiol Lab, GR-45110 Ioannina, Greece
[2] Univ Hosp Ioannina, Dept Cardiol 1, Ioannina, Greece
关键词
Anabolic steroids; myocardial infarction; athletes; bodybuilding; EXERCISE-INDUCED CARDIOPROTECTION; QT INTERVAL; PLATELET-AGGREGATION; BODY-BUILDERS; TESTOSTERONE; NANDROLONE; ASSOCIATION; ABUSE; DISPERSION; HEART;
D O I
10.1177/2047487316651341
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We describe a case report of a 30-year-old bodybuilder suffering acute myocardial infarction (AMI). He had been taking stanozolol and testosterone for two months. The coronary angiogram showed high thrombotic burden in the left anterior descending artery without underlying atherosclerosis. Few case reports of AMI in athletes taking anabolic androgenic steroids (AASs) have been reported so far. AAS-related AMI is possibly underreported in the medical literature due to the desire of the affected individuals to hide AAS use. Physicians should always consider the possibility of AAS abuse in the context of a young athlete suffering AMI. AASs can predispose to AMI through the acceleration of coronary atherosclerosis. Additionally, thrombosis without underlying atherosclerosis or vasospasm is highly possible to cause AMI in AAS users. Complications after AMI may be more frequent in AAS users.
引用
收藏
页码:1785 / 1796
页数:12
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