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• A left anterior oblique view of the best coronary system, demonstrating a total occlusion of the mid proper coronary artery with thrombus.

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Moreover, a element of endothelial dysfunction has been proposed, which can contribute to abnormal vessel reactivity. However, testosterone in physiologic doses could even be helpful in sufferers with angina , have higher ischemic thresholds and improved high quality of life . Short-term intracoronary administration of testosterone induces coronary artery dilation and will increase coronary blood circulate in men with established coronary artery illness . Therefore, an interaction of endogenous factors of the patient’s threat profile as nicely as the testosterone dosing may be problems with whether antagonistic occasions happen.

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We report a case of an acute ST-segment elevation myocardial infarction in a affected person with traditional cardiac threat elements using supraphysiologic doses of supplemental, intramuscular testosterone. In addition, this patient also had polycythemia, likely secondary to high-dose testosterone. The patient underwent successful percutaneous intervention of the right coronary artery. Physicians and patients ought to concentrate on the scientific consequences 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).

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