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Acute MI of Young Age: Unwarranted Dosing of Steroidal and Nutritional Supplementations

Received: 24 March 2024     Accepted: 17 April 2024     Published: 17 May 2024
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Abstract

Body shaping or body building is obsession of our times. This is achieved with over consumption of proteins, steroids and nutritional supplements. The resulting malnutrition manifest as coronary artery disease which further precipitates myocardial infarction in adults below the age of 40 years. A 25-year male patient was referred to emergency department and was diagnosed with MI- STEMI. He complained of chest pain after a treadmill exercise. He was not a habitual drinker and was performing his routine errands. He was consuming typical self-made and suggested nutritional diet along with whey proteins, fat shredder and anabolic steroids. He received stanozolol 2 ml injection, testosterone 1 mg and triiodothyronine 25 mcg., testosterone and Unwarranted consumption of anabolic steroids and testosterone injections coupled with malnutrition precipitated MI-STEMI. He underwent coronary angiography, echocardiography and was diagnosed with MI-STEMI. His echocardiogram showed ST-elevation in Lead I, aVR and V2-V6. His echocardiogram revealed 44% reduction in left ventricular ejection fraction. He was catheterized after loading with Aspirin 75 mg, Clopidogrel 300mg, Rosuvastatin 40 mg. after balloon angiography he further received Eptifibatide 180 mcg/kg followed by 2 mcg/kg/min as maintain ace dose. He was resuscitated with antiplatelets and statins and was discharged after a few days.

Published in American Journal of Internal Medicine (Volume 12, Issue 1)
DOI 10.11648/j.ajim.20241201.12
Page(s) 11-15
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

STEMI, Body Building, Anabolic Steroids Abuse, Young Age MI

References
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[3] Egred, M., G. Viswanathan, and G. K. Davis, Myocardial infarction in young adults. Postgraduate Medical Journal, 2005. 81(962): p. 741-745.
[4] Srimahachota, S., et al., Thai Registry in Acute Coronary Syndrome (TRACS)--an extension of Thai Acute Coronary Syndrome registry (TACS) group: lower in-hospital but still high mortality at one-year. (0125-2208 (Print)).
[5] Esteban, M. R., et al., Acute coronary syndrome in the young: clinical characteristics, risk factors and prognosis. (1874-1924 (Print)).
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[8] Froiland, K., et al., Nutritional supplement use among college athletes and their sources of information. (1526-484X (Print)).
[9] Della Guardia, L., M. Cavallaro, and H. Cena, The risks of self-made diets: the case of an amateur bodybuilder. (1550-2783 (Print)).
[10] Kerksick, C. M., et al., International society of sports nutrition position stand: nutrient timing. (1550-2783 (Electronic)).
[11] Wysoczanski, M., M. Rachko, and S. R. Bergmann, Acute Myocardial Infarction in a Young Man Using Anabolic Steroids. Angiology, 2008. 59(3): p. 376-378.
[12] Strong, J. P., Natural history and risk factors for early human atherogenesis. Pathobiological Determinants of Atherosclerosis in Youth (PDAY) Research Group. (0009-9147 (Print)).
[13] Watanabe, T., T. Haraoka S Fau - Shimokama, and T. Shimokama, Inflammatory and immunological nature of atherosclerosis. (0167-5273 (Print)).
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[16] Satar, S., et al., Prognostic value of thyroid hormone levels in acute myocardial infarction: just an epiphenomenon? (1541-9215 (Print)).
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    Guna, S. D. S., Dixit, A., Katam, S., Odoch, A. K., Dhevanbu, J., et al. (2024). Acute MI of Young Age: Unwarranted Dosing of Steroidal and Nutritional Supplementations. American Journal of Internal Medicine, 12(1), 11-15. https://doi.org/10.11648/j.ajim.20241201.12

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    ACS Style

    Guna, S. D. S.; Dixit, A.; Katam, S.; Odoch, A. K.; Dhevanbu, J., et al. Acute MI of Young Age: Unwarranted Dosing of Steroidal and Nutritional Supplementations. Am. J. Intern. Med. 2024, 12(1), 11-15. doi: 10.11648/j.ajim.20241201.12

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    AMA Style

    Guna SDS, Dixit A, Katam S, Odoch AK, Dhevanbu J, et al. Acute MI of Young Age: Unwarranted Dosing of Steroidal and Nutritional Supplementations. Am J Intern Med. 2024;12(1):11-15. doi: 10.11648/j.ajim.20241201.12

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  • @article{10.11648/j.ajim.20241201.12,
      author = {Sowmya Durga Subhasri Guna and Aishwar Dixit and Shruthi Katam and Allan Karim Odoch and Jeyasundar Dhevanbu and Mohamed Hassan and Allan Oko Sowah and Victory Iyah and Tochukwu Anthony Akwue and Wondimagegn Tibebu Tilahun},
      title = {Acute MI of Young Age: Unwarranted Dosing of Steroidal and Nutritional Supplementations
    },
      journal = {American Journal of Internal Medicine},
      volume = {12},
      number = {1},
      pages = {11-15},
      doi = {10.11648/j.ajim.20241201.12},
      url = {https://doi.org/10.11648/j.ajim.20241201.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20241201.12},
      abstract = {Body shaping or body building is obsession of our times. This is achieved with over consumption of proteins, steroids and nutritional supplements. The resulting malnutrition manifest as coronary artery disease which further precipitates myocardial infarction in adults below the age of 40 years. A 25-year male patient was referred to emergency department and was diagnosed with MI- STEMI. He complained of chest pain after a treadmill exercise. He was not a habitual drinker and was performing his routine errands. He was consuming typical self-made and suggested nutritional diet along with whey proteins, fat shredder and anabolic steroids. He received stanozolol 2 ml injection, testosterone 1 mg and triiodothyronine 25 mcg., testosterone and Unwarranted consumption of anabolic steroids and testosterone injections coupled with malnutrition precipitated MI-STEMI. He underwent coronary angiography, echocardiography and was diagnosed with MI-STEMI. His echocardiogram showed ST-elevation in Lead I, aVR and V2-V6. His echocardiogram revealed 44% reduction in left ventricular ejection fraction. He was catheterized after loading with Aspirin 75 mg, Clopidogrel 300mg, Rosuvastatin 40 mg. after balloon angiography he further received Eptifibatide 180 mcg/kg followed by 2 mcg/kg/min as maintain ace dose. He was resuscitated with antiplatelets and statins and was discharged after a few days.
    },
     year = {2024}
    }
    

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    T1  - Acute MI of Young Age: Unwarranted Dosing of Steroidal and Nutritional Supplementations
    
    AU  - Sowmya Durga Subhasri Guna
    AU  - Aishwar Dixit
    AU  - Shruthi Katam
    AU  - Allan Karim Odoch
    AU  - Jeyasundar Dhevanbu
    AU  - Mohamed Hassan
    AU  - Allan Oko Sowah
    AU  - Victory Iyah
    AU  - Tochukwu Anthony Akwue
    AU  - Wondimagegn Tibebu Tilahun
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    JO  - American Journal of Internal Medicine
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    AB  - Body shaping or body building is obsession of our times. This is achieved with over consumption of proteins, steroids and nutritional supplements. The resulting malnutrition manifest as coronary artery disease which further precipitates myocardial infarction in adults below the age of 40 years. A 25-year male patient was referred to emergency department and was diagnosed with MI- STEMI. He complained of chest pain after a treadmill exercise. He was not a habitual drinker and was performing his routine errands. He was consuming typical self-made and suggested nutritional diet along with whey proteins, fat shredder and anabolic steroids. He received stanozolol 2 ml injection, testosterone 1 mg and triiodothyronine 25 mcg., testosterone and Unwarranted consumption of anabolic steroids and testosterone injections coupled with malnutrition precipitated MI-STEMI. He underwent coronary angiography, echocardiography and was diagnosed with MI-STEMI. His echocardiogram showed ST-elevation in Lead I, aVR and V2-V6. His echocardiogram revealed 44% reduction in left ventricular ejection fraction. He was catheterized after loading with Aspirin 75 mg, Clopidogrel 300mg, Rosuvastatin 40 mg. after balloon angiography he further received Eptifibatide 180 mcg/kg followed by 2 mcg/kg/min as maintain ace dose. He was resuscitated with antiplatelets and statins and was discharged after a few days.
    
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