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pUnfortunately, the information on the use of high dose anabolic steroids in people are primarily provided as case stories or small research that lack adequate control teams. In addition, the info available within the literature does not account for the steroid type or dose, as neither could also be recognized. Patients additionally may be taking concomitant stimulants, similar to ephedra, which might confound information and the potential for opposed occasions. It is likely that the frequency of cardiac events is underreported within the medical literature. Supraphysiologic doses of anabolic-androgenic steroids , which embody more than 30 pure and artificial derivatives of testosterone, may cause a large spectrum of clinical sequalae./p
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pWe report a case of an acute ST-segment elevation myocardial infarction in a patient with conventional cardiac danger elements utilizing supraphysiologic doses of supplemental, intramuscular testosterone. In addition, this patient also had polycythemia, doubtless secondary to high-dose testosterone. The affected person underwent successful percutaneous intervention of the proper coronary artery. Physicians and patients ought to concentrate on the medical consequences of anabolic steroid abuse. Development of an atheromatous plaque perpetuates endothelial dysfunction and promotes platelet aggregation and intracoronary thrombus formation (Ajayi et al 1995; Nieminen et al 1996). Moreover, a component of endothelial dysfunction has been proposed, which can contribute to abnormal vessel reactivity./p
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pMoreover, testosterone has been used in the treatment of decreased muscle mass and bone density in addition to anemia. The function testosterone may play in the development of heart problems has more and more turn out to be the topic of current interest . Anabolic androgenic steroid use has elevated over the previous decade, despite its potential for adverse effects. They proceed for use by Olympic level athletes, and have even spread to high school degree athletes, noncompetitive bodybuilders and leisure athletes (Sullivan et al 1998; Dhar et al 2007)./p
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