Document Detail


Cardiogenic shock complicating myocardial infarction in a doped athlete.
MedLine Citation:
PMID:  19337937     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Abuse of doping agents may pose a higher risk for heart disease including acute myocardial infarction. We report the case of a 50-year-old body-builder Caucasian man with a long-standing abuse of nandrolone and erythropoietin that developed a ventricular septal defect following acute myocardial infarction. This mechanical complication led to cardiogenic shock ultimately treated with the implantation of a circulatory support by means of extracorporeal membrane oxygenation. The patient subsequently underwent orthotopic heart transplantation. The association of intense isometric exercise, abuse of erythropoietin and nandrolone is likely to have predisposed to coronary thrombus formation and acute myocardial infarction, as the patient presented no traditional cardiovascular risk factors.
Authors:
Stefano Lunghetti; Valerio Zacà; Silvia Maffei; Arcangelo Carrera; Rosaria Gaddi; Francesco Diciolla; Massimo Maccherini; Mario Chiavarelli; Sergio Mondillo; Roberto Favilli
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Publication Detail:
Type:  Letter    
Journal Detail:
Title:  Acute cardiac care     Volume:  11     ISSN:  1748-295X     ISO Abbreviation:  Acute Card Care     Publication Date:  2009  
Date Detail:
Created Date:  2009-12-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101276603     Medline TA:  Acute Card Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  250-1     Citation Subset:  IM    
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