合成代谢雄激素类固醇诱导的心肌病、中风和外周血管疾病。
Anabolic androgenic steroid-induced cardiomyopathy, stroke and peripheral vascular disease.
作者信息
Youssef Maged Y Z, Alqallaf Ahmed, Abdella Nabila
机构信息
Department of General Internal Medicine, Mubarak Al Kabeer Teaching Hospital, Kuwait University, Kuwait.
出版信息
BMJ Case Rep. 2011 Jun 30;2011:bcr1220103650. doi: 10.1136/bcr.12.2010.3650.
Abstract
Acute stroke could be the presentation of unrecognised cardiomyopathy postanabolic androgenic steroid (AAS) abuse. A 39-year-old male patient displayed signs of acute stroke, which were associated with AAS abuse over the last 3 years. Despite the absence of symptoms and signs of congestive heart failure at presentation, AAS-induced cardiomyopathy with a thrombus in the left ventricle was discovered to be the aetiology of his stroke and peripheral vascular disease. Awareness of the complications of AAS led to the prompt treatment of the initially unrecognised dilated cardiomyopathy, and stroke.
摘要
急性中风可能是合成代谢雄性类固醇（AAS）滥用后未被识别的心肌病的表现。一名39岁男性患者出现急性中风症状，这与过去3年滥用AAS有关。尽管在就诊时没有充血性心力衰竭的症状和体征，但发现AAS诱发的心肌病伴左心室血栓是其中风和周围血管疾病的病因。对AAS并发症的认识促使对最初未被识别的扩张型心肌病和中风进行了及时治疗。
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