ExcelMale
Menu
Home
What's new
Latest activity
Forums
New posts
Search forums
What's new
New posts
Latest activity
Videos
Lab Tests
Doctor Finder
Buy Books
About Us
Men’s Health Coaching
Log in
Register
What's new
Search
Search
Search titles only
By:
New posts
Search forums
Menu
Log in
Register
Navigation
Install the app
Install
More options
Contact us
Close Menu
Forums
Clinical Use of Anabolics and Hormones
Clinical Use of Anabolics and Hormones
Nandrolone for Mood | Feeling much Better..
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Reply to thread
Message
<blockquote data-quote="tareload" data-source="post: 227282"><p>Good read for a case report...</p><p></p><p></p><p><strong>A unique case of tachycardia-mediated cardiomyopathy in a patient misusing anabolic steroids</strong></p><p></p><p></p><p>[URL unfurl="true"]https://onlinelibrary.wiley.com/doi/10.1002/ccr3.5976?af=R[/URL]</p><p></p><p><em>He was given a dose of furosemide 40 mg intravenous, started on diltiazem and heparin drip. An echocardiogram was obtained, which showed: Increased left ventricular cavity size with normal thickness and severely reduced systolic function, global hypokinesis, and dilated atria. Left ventricular ejection fraction was 15%–20% (Figure <a href="https://onlinelibrary.wiley.com/doi/10.1002/ccr3.5976?af=R#ccr35976-fig-0002" target="_blank">2</a>). Diltiazem was switched to amiodarone drip later as he developed hypotension. Heart catheterization showed normal coronaries (Figure <a href="https://onlinelibrary.wiley.com/doi/10.1002/ccr3.5976?af=R#ccr35976-fig-0003" target="_blank">3</a>), and an initial diagnosis of non-ischemic cardiomyopathy with congestive heart failure was made. Further workup showed normal thyroid hormone, anti-nuclear antibody, iron studies, negative JAK-2, and elevated erythropoietin (Table <a href="https://onlinelibrary.wiley.com/doi/10.1002/ccr3.5976?af=R#ccr35976-tbl-0001" target="_blank">1</a>). Lisinopril, spironolactone, metoprolol was started, and diuresis was continued. He had persistent symptomatic atrial fibrillation and underwent cryo-balloon isolation of all four pulmonary veins. After the voltage map documented isolation of all four pulmonary veins, patient was still in atrial fibrillation and was cardioverted to normal sinus rhythm using a one-time 360 joule shock. Subsequently, programmed stimulation during isoproterenol infusion failed to show any evidence of atrial fibrillation or flutter. He tolerated the procedure with no immediate complications. <strong>Medical records obtained from his hematologist's office mentioned that he was using intramuscular injections of testosterone cypionate for more than 18 years for bodybuilding. Testosterone levels 3 years ago was 1761 ng/dl. On further questioning, he admitted using testosterone shots and tamoxifen and raloxifene for many years, the last use being 1 month ago. Laboratories showed total testosterone 2060 ng/dl (250–1100 ng/dl); free testosterone 810.5 pg/ml (46–224 pg/ml).</strong> He was discharged on lisinopril 2.5 mg daily, spironolactone 25 mg daily, metoprolol 12.5 mg twice a day, apixaban 5 mg twice a day post-ablation (to prevent the risk of stroke and thromboembolism from left atrial manipulation during the procedure, his CHADSVASc score was 1), amiodarone 200 mg daily. He was also referred to the cardiac rehab program. In addition, he was advised to stop AAS use.</em></p><p></p><p>See Table 3.</p><p></p><p>Nothing to see here. Just a good everyday TOT/youtube TRT regimen by today's standards.</p></blockquote><p></p>
[QUOTE="tareload, post: 227282"] Good read for a case report... [B]A unique case of tachycardia-mediated cardiomyopathy in a patient misusing anabolic steroids[/B] [URL unfurl="true"]https://onlinelibrary.wiley.com/doi/10.1002/ccr3.5976?af=R[/URL] [I]He was given a dose of furosemide 40 mg intravenous, started on diltiazem and heparin drip. An echocardiogram was obtained, which showed: Increased left ventricular cavity size with normal thickness and severely reduced systolic function, global hypokinesis, and dilated atria. Left ventricular ejection fraction was 15%–20% (Figure [URL='https://onlinelibrary.wiley.com/doi/10.1002/ccr3.5976?af=R#ccr35976-fig-0002']2[/URL]). Diltiazem was switched to amiodarone drip later as he developed hypotension. Heart catheterization showed normal coronaries (Figure [URL='https://onlinelibrary.wiley.com/doi/10.1002/ccr3.5976?af=R#ccr35976-fig-0003']3[/URL]), and an initial diagnosis of non-ischemic cardiomyopathy with congestive heart failure was made. Further workup showed normal thyroid hormone, anti-nuclear antibody, iron studies, negative JAK-2, and elevated erythropoietin (Table [URL='https://onlinelibrary.wiley.com/doi/10.1002/ccr3.5976?af=R#ccr35976-tbl-0001']1[/URL]). Lisinopril, spironolactone, metoprolol was started, and diuresis was continued. He had persistent symptomatic atrial fibrillation and underwent cryo-balloon isolation of all four pulmonary veins. After the voltage map documented isolation of all four pulmonary veins, patient was still in atrial fibrillation and was cardioverted to normal sinus rhythm using a one-time 360 joule shock. Subsequently, programmed stimulation during isoproterenol infusion failed to show any evidence of atrial fibrillation or flutter. He tolerated the procedure with no immediate complications. [B]Medical records obtained from his hematologist's office mentioned that he was using intramuscular injections of testosterone cypionate for more than 18 years for bodybuilding. Testosterone levels 3 years ago was 1761 ng/dl. On further questioning, he admitted using testosterone shots and tamoxifen and raloxifene for many years, the last use being 1 month ago. Laboratories showed total testosterone 2060 ng/dl (250–1100 ng/dl); free testosterone 810.5 pg/ml (46–224 pg/ml).[/B] He was discharged on lisinopril 2.5 mg daily, spironolactone 25 mg daily, metoprolol 12.5 mg twice a day, apixaban 5 mg twice a day post-ablation (to prevent the risk of stroke and thromboembolism from left atrial manipulation during the procedure, his CHADSVASc score was 1), amiodarone 200 mg daily. He was also referred to the cardiac rehab program. In addition, he was advised to stop AAS use.[/I] See Table 3. Nothing to see here. Just a good everyday TOT/youtube TRT regimen by today's standards. [/QUOTE]
Insert quotes…
Verification
Post reply
Share this page
Facebook
Twitter
Reddit
Pinterest
Tumblr
WhatsApp
Email
Share
Link
Sponsors
Forums
Clinical Use of Anabolics and Hormones
Clinical Use of Anabolics and Hormones
Nandrolone for Mood | Feeling much Better..
This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
By continuing to use this site, you are consenting to our use of cookies.
Accept
Learn more…
Top