Cardiac arrest following anaesthetic induction in a world-class bodybuilder.
This is a report of a 41-year-old professional male bodybuilder with a history of active anabolic-androgenic steroid abuse and a normal echocardiogram two years prior to admission who experienced a near-fatal arrhythmia during anaesthetic induction for elective orthopaedic surgery. The patient had severe concentric left ventricular hypertrophy, diffuse left ventricular hypokinesis, decreased ejection fraction and inducible monomorphic ventricular tachycardia. A single-chamber cardioverter/defibrillator was inserted.
Angelilli
Allison
A
New York University Hospital, New York, New York, USA. aa638@med.nyu.edu
Katz
Edward S
ES
Goldenberg
Ronald M
RM
D000328:Adult; D045930:Anabolic Agents / Q000008:administration & dosage; D000728:Androgens / Q000008:administration & dosage; D000758:Anesthesia / Q000009:adverse effects*; D001145:Arrhythmias, Cardiac / Q000209:etiology* / Q000628:therapy; D017147:Defibrillators, Implantable; D015444:Exercise / Q000502:physiology*; D006323:Heart Arrest / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D017379:Hypertrophy, Left Ventricular; D008297:Male; D019966:Substance-Related Disorders / Q000150:complications; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left
D045930:Anabolic Agents; D000728:Androgens