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

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

doi:10.1016/j.jaccas.2020.09.038

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

JACC Case Rep. 2020 Dec 23;3(4):537-541. doi: 10.1016/j.jaccas.2020.09.038. eCollection 2021 Apr.

Authors

Kazuma Tashiro¹, Yoshitaka Iso^{1

2

3}, Miki Tsujiuchi^{2

3}, Hiromoto Sone¹, Masahiro Sasai¹, Hiroyoshi Mori¹, Daisuke Wakatsuki¹, Makoto Shoji², Tokutada Sato¹, Hiroshi Suzuki¹

Affiliations

¹ Division of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan.
² Division of Cardiology, Showa University Fujigaoka Rehabilitation Hospital, Yokohama, Japan.
³ Showa University Research Institute for Sport and Exercise Sciences, Yokohama, Japan.

Abstract

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.).

Keywords: ECG, electrocardiogram; MI, myocardial infarction; OCT, optical coherence tomography; acute coronary syndrome; anabolic steroids; exercise; subacute thrombosis.

Publication types

Case Reports