In addition, the info available within the literature doesn’t account for the steroid type or dose, as neither may be recognized. Patients additionally may be taking concomitant stimulants, such as ephedra, which might confound data and the potential for opposed occasions. It is likely that the frequency of cardiac occasions is underreported within the medical literature. Supraphysiologic doses of anabolic-androgenic steroids , which include greater than 30 natural and artificial derivatives of testosterone, may trigger a wide spectrum of clinical sequalae.
However, testosterone in physiologic doses may even be beneficial in patients with angina , have greater ischemic thresholds and improved high quality of life . Short-term intracoronary administration of testosterone induces coronary artery dilation and will increase coronary blood flow in males with established coronary artery illness . Therefore, an interaction of endogenous components of the patient’s threat profile as properly as the testosterone dosing could additionally be issues of whether or not antagonistic events happen. Erythrocytosis has been reported as a potential impact of testosterone, which can be beneficial in sufferers with anemia. The best danger of erythrocytosis occurs with injectable types of testosterone compared with transdermal preparations, especially in supraphysiologic doses. An improve of up to 44% of the baseline hematocrit has been reported . Moreover, testosterone has been used in the remedy of decreased muscle mass and bone density as well as anemia.
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Anabolic Steroids, Acute Myocardial Infarction And Polycythemia: A Case Report And Review Of The Literature
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