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• Physicians and patients ought to pay attention to the scientific penalties of anabolic steroid abuse.
• Short-term intracoronary administration of testosterone induces coronary artery dilation and will increase coronary blood circulate in males with established coronary artery disease .
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Rhoden EL, Morgentaler A. Risks of testosterone-replacement remedy and proposals for monitoring. Testosterone replacement in hypogonadal males with angina improves ischaemic threshold and high quality of life. Ajayi AAL, Mathur R, Halushka PV. Testosterone enhance human platelet thromboxane A2 receptor density and aggregation responses.

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Erythrocytosis has been reported as a possible impact of testosterone, which can be useful in patients with anemia. The best threat of erythrocytosis happens with injectable forms soda cams of testosterone compared with transdermal preparations, especially in supraphysiologic doses. An increase of as a lot as 44% of the baseline hematocrit has been reported .

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We report a case of an acute ST-segment elevation myocardial infarction in a affected person with traditional cardiac danger factors utilizing supraphysiologic doses of supplemental, intramuscular testosterone. In addition, this patient also had polycythemia, doubtless secondary to high-dose testosterone. The patient underwent successful percutaneous intervention of the proper coronary artery. Physicians and sufferers should concentrate on the medical penalties of anabolic steroid abuse. Development of an atheromatous plaque perpetuates endothelial dysfunction and promotes platelet aggregation and intracoronary thrombus formation (Ajayi et al 1995; Nieminen et al 1996).