Left Ventricular Size and Function in Elite Bodybuilders Using Anabolic Steroids

@article{Dickerman1997LeftVS,
  title={Left Ventricular Size and Function in Elite Bodybuilders Using Anabolic Steroids},
  author={Rob D. Dickerman and Frederick A. Schaller and N. Y. Zachariah and W. J. McConathy},
  journal={Clinical Journal of Sport Medicine},
  year={1997},
  volume={7},
  pages={90–93}
}
ObjectiveTo investigate the relationship between resistance training, anabolic steroid use, and left ventricular function. DesignSixteen competitive bodybuilders were recruited for an echocardiography study. SettingUniversity of North Texas Health Science Center (Fort Worth, TX, U.S.A.); the cardiologist and technician were blinded as to subject' drug status. SubjectsEight competitive heavyweight drug-free (DF) bodybuilders and eight competitive heavyweight bodybuilders on self-directed… 
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Are the cardiac effects of anabolic steroid abuse in strength athletes reversible?
TLDR
Several years after discontinuation of anabolic steroid abuse, strength athletes still show a slight concentric left ventricular hypertrophy in comparison with AAS-free strength athletes.
Echocardiographic Findings in Power Athletes Abusing Anabolic Androgenic Steroids
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Observed differences in diastolic size of septum and free wall is in favor of that long term abuse of anabolic steroid results in accentuation of physiologic hypertrophy due to long term sport most probably due to higher rate pressure product.
Effects of anabolic-androgenic steroids on weight-lifters' myocardium: an ultrasonic videodensitometric study.
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Despite an increase in septal and parietal thickness and consequently in LVMbs, the physiological pressure overload that happens in WL during sport activities, in absence of any drugs, does not modify the myocardial ultrasonic texture.
Left ventricular early myocardial dysfunction after chronic misuse of anabolic androgenic steroids: a Doppler myocardial and strain imaging analysis
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Several years after chronic misuse of Anabolic androgenic steroids, power athletes show a subclinical impairment of both systolic and diastolic myocardial function, strongly associated with mean dosage and duration of AAS use.
The effects of anabolic-androgenic steroids upon resting and peak exercise left ventricular heart wall motion kinetics in male strength and power athletes.
Cardiovascular manifestations of anabolic steroids in association with demographic variables in body building athletes
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Evaluated cardiovascular outcomes of anabolic consumption in body building athletes showed a significant increase in systolic and diastolic blood pressure (SBP and DBP) in anabolic steroid users which associates with duration of abuse.
Left Ventricular Wall Thickening Does Occur in Elite Power Athletes with or without Anabolic Steroid Use
TLDR
It is demonstrated thatleft ventricular wall thicknesses ≥13 mm can be found routinely in elite resistance-trained athletes and the use of anabolic steroids concomitant with intensive resistance exercise does appear to augment left ventricular size without dysfunction.
Doping and effects of anabolic androgenic steroids on the heart: histological, ultrastructural, and echocardiographic assessment in strength athletes
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Echocardiographic results showed that bodybuilders who use steroids have smaller left ventricular dimension with thicker walls, impaired diastolic function, as well as higher peak systolic strain rate in steroid-using bodybuilders as compared to the other two groups.
Effects of long term resistance training on left ventricular morphology.
TLDR
Contrary to common beliefs, long term resistance training as performed by elite male power-lifters does not alter LV morphology.
Testosterone therapy in men with moderate severity heart failure: a double-blind randomized placebo controlled trial.
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Testosterone replacement therapy improves functional capacity and symptoms in men with moderately severe heart failure and the patch preparation was not well tolerated by the study patients.
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