title: [Coronary thrombosis and ectasia of coronary arteries after long-term use of anabolic steroids].
abstract: Chronic abuse of anabolic steroids is widespread. Hypertrophy of skeletal and heart muscle is a well-known effect of chronic anabolic steroid abuse. Structural alterations of blood vessels are new side effects. We report a case of a 32-year-old bodybuilder after long-term use of anabolic steroids who died of cardiac arrest. Coronary angiography and autopsy findings showed especially a hypertrophic heart, structural changes of coronary arteries, intracoronary thrombosis and myocardial infarction, ventricular thrombosis and systemic embolism
authors.affiliation: Klinikum Darmstadt, Medizinische Klinik I, Grafenstrasse 9, 64283 Darmstadt, Germany.
authors.forename: K-H
authors.initials: KH
authors.lastname: Tischer
authors.forename: R
authors.initials: R
authors.lastname: Heyny-von Haussen
authors.forename: G
authors.initials: G
authors.lastname: Mall
authors.forename: P
authors.initials: P
authors.lastname: Doenecke
mesh_terms: D000328:Adult; D045930:Anabolic Agents / Q000008:administration & dosage / Q000009:adverse effects*; D016888:Angiodysplasia / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000473:pathology; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000473:pathology; D003331:Coronary Vessels / Q000473:pathology; D003937:Diagnosis, Differential; D004300:Doping in Sports; D005500:Follow-Up Studies; D006333:Heart Failure / Q000139:chemically induced / Q000000981:diagnostic imaging / Q000473:pathology; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D008297:Male; D008696:Methandrostenolone / Q000008:administration & dosage / Q000009:adverse effects*; D009203:Myocardial Infarction / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000473:pathology; D012008:Recurrence; D018487:Ventricular Dysfunction, Left / Q000139:chemically induced / Q000000981:diagnostic imaging / Q000473:pathology; D014891:Weight Lifting
chemical_list: D045930:Anabolic Agents; D008696:Methandrostenolone
vernacular_title: Koronarthrombosen und -ektasien nach langjähriger Einnahme von anabolen Steroiden.