Acute Myocardial Infarct in a Young Bodybuilder Taking Anabolic Steroids: A Case Report

Figures

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  Figure 1. A 12-lead electrocardiogram showing T-wave inversion in leads V4-V5-V6, II, III, and aVF Arrows indicate T-wave invesrion in leads V4-V5-V6, II, III, and aVF

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  Figure 2. The GLS pattern shows reduced strain in the lateral and anterior segments, consistent with the circumflex artery territory. Dark red (deep red), indicating a normal longitudinal strain and healthy myocardial deformation (normal contraction). Light red to pink (−10% to −5%), indicating reduced strain / hypokinetic myocardium (reduced contractility). Pale pink (near white) (0% to −3%), indicating severely reduced or absent strain and akinetic or dyskinetic myocardium (no proper contraction).

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  Figure 3. Coronary angiogram before (a) and after (b) placing the stent in the first obtuse marginal branching off the circumflex coronary artery.