Subacute Stent Thrombosis After Primary Percutaneous Coronary Intervention in a Middle-Aged Anabolic Steroid–Abusing Bodybuilder

Kazuma Tashiro, MD; Yoshitaka Iso, MD, PhD; Miki Tsujiuchi, MD, PhD; Hiromoto Sone, MD; Masahiro Sasai, MD, PhD; Hiroyoshi Mori, MD, PhD; Daisuke Wakatsuki, MD, PhD; Makoto Shoji, MD, PhD; Tokutada Sato, MD, PhD; Hiroshi Suzuki, MD, PhD

JACC: Case Reports (Apr 2021)

Subacute Stent Thrombosis After Primary Percutaneous Coronary Intervention in a Middle-Aged Anabolic Steroid–Abusing Bodybuilder

Kazuma Tashiro, MD,
Yoshitaka Iso, MD, PhD,
Miki Tsujiuchi, MD, PhD,
Hiromoto Sone, MD,
Masahiro Sasai, MD, PhD,
Hiroyoshi Mori, MD, PhD,
Daisuke Wakatsuki, MD, PhD,
Makoto Shoji, MD, PhD,
Tokutada Sato, MD, PhD,
Hiroshi Suzuki, MD, PhD

Affiliations

Kazuma Tashiro, MD: Division of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan
Yoshitaka Iso, MD, PhD: Division of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan; Division of Cardiology, Showa University Fujigaoka Rehabilitation Hospital, Yokohama, Japan; Showa University Research Institute for Sport and Exercise Sciences, Yokohama, Japan; Address for correspondence: Dr. Yoshitaka Iso, Division of Cardiology, Showa University Fujigaoka Hospital, Showa University Research Institute for Sport and Exercise Sciences, 2-1-1 Fujigaoka, Yokohama City, Kanagawa 227-8518, Japan.
Miki Tsujiuchi, MD, PhD: Division of Cardiology, Showa University Fujigaoka Rehabilitation Hospital, Yokohama, Japan; Showa University Research Institute for Sport and Exercise Sciences, Yokohama, Japan
Hiromoto Sone, MD: Division of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan
Masahiro Sasai, MD, PhD: Division of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan
Hiroyoshi Mori, MD, PhD: Division of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan
Daisuke Wakatsuki, MD, PhD: Division of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan
Makoto Shoji, MD, PhD: Division of Cardiology, Showa University Fujigaoka Rehabilitation Hospital, Yokohama, Japan
Tokutada Sato, MD, PhD: Division of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan
Hiroshi Suzuki, MD, PhD: Division of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan

Journal volume & issue: Vol. 3, no. 4
pp. 537 – 541

Abstract

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A 54-year-old male bodybuilder who was abusing anabolic steroids developed an acute ST-segment elevation myocardial infarction after strenuous strength training. Despite optimal use of dual antiplatelet therapy, on day 4 after primary coronary stenting, the patient suffered another acute coronary event due to subacute thrombosis, potentially pre-disposed by anabolic steroid use. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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