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Long-term Anabolic Steroid Use Linked to Heart Damage

Long-Term Steroid Use Linked to Heart Problems Unchecked use of anabolic-androgenic steroids is linked to lasting heart muscle thickening and irregular heartbeats, according to a study published in the European Heart Journal – Cardiovascular Imaging. The research follows…

Long-term Anabolic Steroid Use Linked to Heart Damage

Long-Term Steroid Use Linked to Heart Problems

Unchecked use of anabolic-androgenic steroids is linked to lasting heart muscle thickening and irregular heartbeats, according to a study published in the European Heart Journal – Cardiovascular Imaging. The research follows an initial study conducted between 2017 and 2019 that tracked 101 male anabolic steroid users and 71 non-users.

Decline in Participant Retention and Continued Use

Out of the original cohort, 70 steroid users and 35 non-users returned for the follow-up evaluation. Among the returning steroid users, half were still actively using the substances. Fifteen participants had interrupted their use, fourteen had stopped entirely, and six had quit before relapsing.

Comprehensive Testing and Cardiovascular Assessments

Researchers gathered data through independent questionnaires and interviews regarding medical history, cardiovascular symptoms of cardiac arrest and coronary artery disease, workout routines, and substance specifics. Blood and urine samples were collected to measure hormone levels alongside echocardiograms to assess heart function.

Reversibility of Damage Through Cessation or Medication

The 15 men who successfully stopped using steroids showed a 19 percent reduction in heart muscle thickening, bringing them comparable to non-users. Their left ventricles also improved at pumping blood. Users with untreated high blood pressure experienced an eight percent worsening in left ventricle pumping efficiency, whereas treated users saw an eleven percent improvement.

Study Limitations and Preventive Approaches

Astrid Bjørnebekk noted that the findings emphasize the need for preventive strategies to reduce steroid-related harm. The study’s limitations include a small participant pool, a lack of gender and nationality diversity, and reliance on self-reported usage data.

Frequently Asked Questions

What specific heart abnormalities did ongoing steroid users exhibit?

Active users showed lasting thickening of the heart muscle, irregular heartbeats, and reduced ability of the heart to rest properly.

What factors beyond steroids were monitored during the research?

Researchers tracked participants’ alcohol and drug use, weightlifting and endurance training habits, maximum lifted weights, and blood pressure treatments.

About the author: Dr Natalie Singh - Health Editor

Board‑certified internal‑medicine physician and MPH. Natalie authored peer‑reviewed studies on infectious disease and served as medical editor. “Dr. Natalie Singh delivers evidence‑based health news, medical breakthroughs, and expert wellness guidance.”