CTICasesAccelerated Atherosclerosis in a Steroid-Using Power Lifter
Imaging findings
CT coronary angiography in a 39-year-old male power lifter using anabolic steroids shows extensive positive remodeling, low-attenuation non-calcified vulnerable plaque, and severe stenosis in the LAD, RAMUS, and RCA, representing accelerated atherosclerosis.
Key takeaways
Anabolic steroid use and heavy powerlifting in young men are associated with premature and accelerated coronary artery disease. These plaques show high-risk vulnerable features (positive remodeling and low-attenuation lipid cores) and can mimic spontaneous coronary dissection (SCAD).
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