Acute Myocardial Infarction in a Young Bodybuilder: A Case Report and Review of the Literature

Acute Myocardial Infarction in a Young Bodybuilder : A Case Report and Review of the Literature / Abrão José Melhem Jr., Amélia Cristina Araújo, Felipe Nathan S. Figueiredo, David Livingstone A. Figueiredo. - (American Journal of Case Reports (2020) 21:e924796 (August 27); p. 1-8)

  • PMID: 32848124
  • DOI: 10.12659/AJCR.924796


BACKGROUND Misuse of androgenic anabolic steroids (AAS) is a current practice associated with vigorous bodybuilding for muscular hypertrophy, especially among gym practitioners and bodybuilders, influenced by the culture of body image. In addition to liver, psychiatric, genital, urinary, dermatological, and musculoskeletal complications, AAS misuse reportedly can lead to development of cardiovascular complications, such as hypertension, dyslipidemia, cardiac hypertrophy, and early coronary disease, and potentially acute myocardial infarction (AMI) and sudden death.

CASE REPORT A 26-year-old male farmer who was also an amateur bodybuilder developed an extensive Killip Class I AMI in the anterior wall while using AAS. A few days before the acute event, his lipid and hormone levels were measured and found to be significantly elevated. The patient was asymptomatic after left anterior descending branch angioplasty, but he had significant electrocardiographic sequelae and ventricular dysfunction.

CONCLUSIONS We describe the case of a young male bodybuilder using AAS who presented with AMI and was treated with primary angioplasty. Documentation of high levels of lipids and hormones 1 week before the acute event suggests some relationship between AAS and cardiovascular disease. The main effects of using these steroids on the cardiovascular system are reviewed. It is time for a new global warning about the risks of misusing AAS to obtain muscle hypertrophy. Based on current medical knowledge, these hormones should not be prescribed without a clear indication for their use.

Original document


Case report
27 August 2020
Araújo, Amélia Cristina
Figueiredo, David Livingstone A.
Figueiredo, Felipe Nathan S.
Melhem, Abrão José Jr.
Bodybuilding & Fitness (IFBB) - International Federation of Bodybuilding & Fitness
Other organisations
Instituto para a Pesquisa do Câncer (IPEC) - Guarapuava Cancer Research Institute
Pontifícia Universidade Católica do Paraná (PUCPR) - Pontifical Catholic University of Paraná
São Vicente Hospital
Universidade Estadual do Centro-Oeste do Paraná (UNICENTRO) - Midwest State University of Paraná
Doping classes
S1. Anabolic Agents
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Body image
Cardiovascular diseases
Health effects
Gym/fitness environment
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Date generated
2 September 2020
Date of last modification
13 September 2020
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