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May 1, 2009Human & Experimental Toxicology

Doping and effects of anabolic androgenic steroids on the heart: histological, ultrastructural, and echocardiographic assessment in strength athletes

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Key result

Supraphysiological doses of anabolic androgenic steroids were associated with smaller left ventricular dimensions, thicker walls, impaired diastolic function, and myocardial degeneration.

Why the study?

Do supraphysiological doses of anabolic androgenic steroids cause structural and functional alterations in the heart in athletes and experimental animals?

Population

25 human males and 30 adult albino rats

Comparison

Supraphysiological doses of anabolic androgenic… vs Non-using bodybuilders and nonathletic controls…

Design

Other

Follow-up

8 weeks (for rat model)

Authors

NHNeven HassanMSMF SalemMSMael Sayed

Discussion

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Overview

Supports cardiac monitoring in AAS users; leaves open need for prospective validation before practice change.

Study Design

Type

Cross-Sectional (n=55)

Structured PICO

Do supraphysiological doses of anabolic androgenic steroids cause structural and functional alterations in the heart in athletes and experimental animals?

P
Population
25 adult males (15 steroid-using bodybuilders, 5 non-using bodybuilders, 5 nonathletes) and 30 adult albino rats evaluated for structural and functional cardiac alterations.
E
Exposure
Supraphysiological doses of anabolic androgenic steroids (AAS) in humans; sustanon 10 mg/kg intramuscularly once a week for 8 weeks in rats
C
Comparator
Non-using bodybuilders and nonathletic controls (humans); olive oil intramuscularly or no injection (rats)
O
Outcome
Structural and functional alterations in the heart assessed by echocardiography (humans) and histological/ultrastructural examination (rats)surrogate

Supraphysiological doses of anabolic androgenic steroids cause significant structural and functional myocardial damage, with strain rate imaging showing promise for early detection of systolic dysfunction in athletes.

Cite This Study

Hassan et al. (2009) conducted a cross-sectional in Anabolic androgenic steroid use (n=55). Anabolic androgenic steroids (AAS) vs. Bodybuilders not using steroids, nonathletic males, and control rats was evaluated on Structural and functional alterations in the heart (echocardiographic, histological, and ultrastructural changes). Supraphysiological doses of anabolic androgenic steroids were associated with smaller left ventricular dimensions, thicker walls, impaired diastolic function, and myocardial degeneration.

synapsesocial.com/papers/6a96e5efd6c1344eaca6bcf6https://doi.org/10.1177/0960327109104821
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Left ventricular early myocardial dysfunction after chronic misuse of anabolic androgenic steroids: a Doppler myocardial and strain imaging analysis2006 · 183 citations
  2. 2Prospective Echocardiographic Assessment of Androgenic-Anabolic Steroids Effects on Cardiac Structure and Function in Strength Athletes2003 · 71 citations
  3. 3Biventricular dysfunction and lung congestion in athletes on anabolic androgenic steroids: a speckle tracking and stress lung echocardiography analysis2021 · 21 citations
  4. 4Early Left Ventricular Diastolic Dysfunction, Reduced Baroreflex Sensitivity, and Cardiac Autonomic Imbalance in Anabolic–Androgenic Steroid Users2021 · 15 citations
  5. 5Noninvasive cardiac evaluation of weight‐lifters using anabolic steroids1993 · 11 citations