合成代谢雄激素类固醇滥用继发的心肌病和心力衰竭。
Cardiomyopathy and heart failure secondary to anabolic-androgen steroid abuse.
作者信息
Ilonze Onyedika J, Enyi Chioma O, Ilonze Chibuzo C
机构信息
Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis, Indiana.
Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas.
出版信息
Proc (Bayl Univ Med Cent). 2022 Mar 17;35(3):363-365. doi: 10.1080/08998280.2022.2039496. eCollection 2022.
Abstract
Bodybuilders often use anabolic-androgenic steroids to improve performance. We report a case of a 30-year-old male bodybuilder with anabolic-androgen steroid abuse while getting ready for a bodybuilding contest. He had New York Heart Association class IV heart failure, severe nonischemic dilated cardiomyopathy, new-onset atrial fibrillation, cardiogenic pulmonary edema, and acute respiratory distress requiring mechanical ventilation. After 6 months of heart failure guideline-directed medical therapy, cessation of anabolic steroids, and maintenance of sinus rhythm, his ejection fraction improved.
摘要
健美运动员常使用合成代谢雄激素类固醇来提高成绩。我们报告一例30岁男性健美运动员的病例，该患者在准备参加健美比赛期间滥用合成代谢雄激素类固醇。他患有纽约心脏协会IV级心力衰竭、严重非缺血性扩张型心肌病、新发房颤、心源性肺水肿以及需要机械通气的急性呼吸窘迫。经过6个月遵循心力衰竭指南的药物治疗、停用合成代谢类固醇并维持窦性心律后，他的射血分数有所改善。
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