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Long-term anabolic steroid use may weaken the heart more than previously thought and may increase the risk of heart failure, according to research reported in circulation: heart failure, anirregular heart beat.
Heart failure is a medical condition and results from a weakened and weakened heart. It occurs when the heart is unable to pump blood properly (arterial infarction) or when the heart muscle is weak.
In patients with heart failure, heart failure is usually diagnosed in the hospital. While the condition is not life-threatening, it often can be slow-progressing and difficult for doctors to diagnose, in part because heart failure can be difficult to diagnose during the initial stages.
The researchers found that a high percentage of subjects who reported the highest doses of anabolic steroids (defined as greater than 200 mg of testosterone or over 4.6 g of d-bol or the equivalent of 100 doses and more) experienced heart failure at the time of their cardiac testing.
At the initial heart failure screening, more than 90% of those who used the highest doses of anabolic steroids had a heart failure of some degree before death. This includes more than 30% with a cardiac heart disease — a condition that includes heart disease.
Those who used very heavy doses of anabolic steroids before heart failure diagnosis were also at increased risk of future heart failure. In contrast, people who took lower doses of anabolic steroids and did not have heart failure had a much lower heart failure risk than those who reported a very high dose. The researchers note that the difference is probably not related to the use of nonsteroidal anti-inflammatory drugs. "Although cardiovascular events do occur with high dose anabolic steroid use (and with frequent use), high dose use does not necessarily result in an increase in the risk of subsequent cardiovascular events," the researchers wrote.
The increase in the heart failure risk associated with long-term non-steroidal anti-inflammatory steroid use could have some medical consequences.
If heart failure was to occur in people who are on long-term nonsteroidal anti-inflammatory steroid use, doctors might consider using an implantable cardioverter defibrillator for people who use these drugs.
If anyone who is prescribed anabolic steroids or who takes them in combination with anti-inflammatory drugs has a heart attack, it is critical that they receive an ultrasound of the heart, which can help doctors recognize if they have a heart condition.
The authors noted that further research should examine the specific causes and consequences of long-term anabolic steroid use, which could help to determine if use of these drugs may increase the risk for heart failure.
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