The Tragedy of a Strong Muscle and a Weak Heart: Complications of Anabolic-Androgenic Steroid Misuse

Misuse of anabolic-androgenic steroids (AAS) to boost performance and appearance is rising in the United States (US) with approximately one million people experiencing dependence. Long-term AAS misuse can lead to cardiovascular pathology but rarely cardiogenic shock. We report the case of an acute i...

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Autores principales: Gadela, Naga Vaishnavi, Coban, Hamza, Wasserman, Evan, Schreyer, Evan, Jaiswal, Abhishek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8457317/
https://www.ncbi.nlm.nih.gov/pubmed/34584799
http://dx.doi.org/10.7759/cureus.17389
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author Gadela, Naga Vaishnavi
Coban, Hamza
Wasserman, Evan
Schreyer, Evan
Jaiswal, Abhishek
author_facet Gadela, Naga Vaishnavi
Coban, Hamza
Wasserman, Evan
Schreyer, Evan
Jaiswal, Abhishek
author_sort Gadela, Naga Vaishnavi
collection PubMed
description Misuse of anabolic-androgenic steroids (AAS) to boost performance and appearance is rising in the United States (US) with approximately one million people experiencing dependence. Long-term AAS misuse can lead to cardiovascular pathology but rarely cardiogenic shock. We report the case of an acute ischemic stroke secondary to an intracardiac thrombus in a patient with biventricular failure and cardiogenic shock associated with AAS misuse. Discontinuation of AAS and institution of guideline-directed medical therapy might reverse AAS-related heart failure.
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spelling pubmed-84573172021-09-27 The Tragedy of a Strong Muscle and a Weak Heart: Complications of Anabolic-Androgenic Steroid Misuse Gadela, Naga Vaishnavi Coban, Hamza Wasserman, Evan Schreyer, Evan Jaiswal, Abhishek Cureus Cardiology Misuse of anabolic-androgenic steroids (AAS) to boost performance and appearance is rising in the United States (US) with approximately one million people experiencing dependence. Long-term AAS misuse can lead to cardiovascular pathology but rarely cardiogenic shock. We report the case of an acute ischemic stroke secondary to an intracardiac thrombus in a patient with biventricular failure and cardiogenic shock associated with AAS misuse. Discontinuation of AAS and institution of guideline-directed medical therapy might reverse AAS-related heart failure. Cureus 2021-08-23 /pmc/articles/PMC8457317/ /pubmed/34584799 http://dx.doi.org/10.7759/cureus.17389 Text en Copyright © 2021, Gadela et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Gadela, Naga Vaishnavi
Coban, Hamza
Wasserman, Evan
Schreyer, Evan
Jaiswal, Abhishek
The Tragedy of a Strong Muscle and a Weak Heart: Complications of Anabolic-Androgenic Steroid Misuse
title The Tragedy of a Strong Muscle and a Weak Heart: Complications of Anabolic-Androgenic Steroid Misuse
title_full The Tragedy of a Strong Muscle and a Weak Heart: Complications of Anabolic-Androgenic Steroid Misuse
title_fullStr The Tragedy of a Strong Muscle and a Weak Heart: Complications of Anabolic-Androgenic Steroid Misuse
title_full_unstemmed The Tragedy of a Strong Muscle and a Weak Heart: Complications of Anabolic-Androgenic Steroid Misuse
title_short The Tragedy of a Strong Muscle and a Weak Heart: Complications of Anabolic-Androgenic Steroid Misuse
title_sort tragedy of a strong muscle and a weak heart: complications of anabolic-androgenic steroid misuse
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8457317/
https://www.ncbi.nlm.nih.gov/pubmed/34584799
http://dx.doi.org/10.7759/cureus.17389
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