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Unsurprisingly, as excess can promote several adverse effects, most of them can be life-threatening, such as cardiovascular disorders. Apart from these positive anabolic effects, aas has numerous adverse cardio- vascular effects when consumed in doses 10 to 40 times the therapeutic dose, such as accelerated atherosclerotic disease leading to acute myocardial infarction, cerebrovascular accidents, dilated cardiomyopathy and sud- den death. The use of anabolic-androgenic steroids (aas) among athletes is not new, nor is concern about their potential cardiac effects, but it has been difficult to definitively document deleterious cardiovascular effects from these drugs. Evidence has accumulated over the pst several years which associates androgenic-anabolic steroid (aas) use with sudden cardiac death, myocardial infarction, altered serum lipoproteins, and cardiac hypertrophy in humans who habitually use these drugs. Anabolic steroid abusers are at high risk of developing cardiovascular diseases such as hypertension, cardiac arrest, myocardial infarction, and stroke. High levels of cortisol hormone are observed in steroid abusers. Anabolic steroid abusers who also abuse corticosteroids develop long term kidney diseases. Anabolic-androgenic steroids are used worldwide to help athletes gain muscle mass and strength. Their use and abuse is associated with numerous side effects, including acute myocardial infarction (mi). We report a case of mi in a young 31-year-old bodybuilder. Aas in humans has been associated with hypertension, myocardial infarction, and sudden cardiac death. The elevated cardiovascular risk persists long after steroid use has been discontinued. Anabolic-androgenic steroids (aas) represents a group of synthetic testosterone derivatives that play an important role in clinical treatment. These drugs are widely abused among the general public to increase lean weight and improve athletic performance. The term ‘anabolic‐androgenic steroids (aas)’ refers to a group of compounds that are structurally related to testosterone and exert two main physiological effects including muscle growth and masculinization [ 1 ]. Since 1940s, aas therapy has been advocated as substitution therapy of testosterone deficiency and hypogonadism [ 1 ]. Anabolic-androgenic steroid abuse has recently been linked with acute vascular events in athletes. Background and objectives: anabolic-androgenic steroids (aass) are a group of synthetic molecules derived from testosterone and its related precursors. Aass are widely used illicitly by adolescents and athletes, especially by bodybuilders, both for aesthetic uses and as performance enhancers to increase muscle growth and lean body mass
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