Manifestation of severe coronary heart disease after anabolic drug abuse.
Anabolic steroids are frequently abused, thus increasing the risk of cardiovascular disease, despite the known unfavorable influence on lipid profiles. We report on a young bodybuilder who presented with ventricular tachycardia as the first manifestation of severe underlying coronary heart disease. Coronary angiogram revealed severe stenotic lesions in the right coronary artery and the left descending coronary artery, and hypokinetic regions corresponded to posterolateral and anterior myocardial infarctions. This young patient had a history without any coronary risk factors, but with a 2-year abuse of the anabolic steroid stanazolol. No report published so far has shown possible atherogenic consequences of long-term abuse of stanazolol.
Mewis
C
C
Medical Clinic III of University Tübingen, Germany.
Spyridopoulos
I
I
Kühlkamp
V
V
Seipel
L
L
D000328:Adult; D045930:Anabolic Agents / Q000009:adverse effects*; D003327:Coronary Disease / Q000139:chemically induced* / Q000150:complications; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000139:chemically induced; D013197:Stanozolol / Q000009:adverse effects*; D019966:Substance-Related Disorders / Q000150:complications*; D017180:Tachycardia, Ventricular / Q000209:etiology
D045930:Anabolic Agents; D013197:Stanozolol