Manifestation of severe coronary heart disease after anabolic drug abuse.

Clin Cardiol. 1996 Feb;19(2):153-5.

Manifestation of severe coronary heart disease after anabolic drug abuse.

Mewis C, Spyridopoulos I, Kühlkamp V, Seipel L.

Medical Clinic III of University Tübingen, Germany.

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.