Journal
ACTA CARDIOLOGICA
Volume 60, Issue 4, Pages 443-444Publisher
TAYLOR & FRANCIS LTD
DOI: 10.2143/AC.60.4.2004995
Keywords
anabolic-androgenic steroids; athletes; sudden cardiac death; myocardial hypertrophy; anaesthesia
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This is a report of a 41-year-old professional male bodybuilder with a history of active anabolic-androgenic steroid abuse and a normal echocardiogram two years prior to admission who experienced a near-fatal arrhythmia during anaesthetic induction for elective orthopaedic surgery. The patient had severe concentric left ventricular hypertrophy, diffuse left ventricular hypokinesis, decreased ejection fraction and inducible monomorphic ventricular tachycardia. A single-chamber cardioverter/defibrillator was inserted.
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