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Anabolic Steroids, Acute Myocardial Infarction And Polycythemia: A Case Report And Evaluation Of The Literature

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The greatest danger of erythrocytosis happens with injectable types of testosterone in contrast with transdermal preparations, particularly in supraphysiologic doses. An improve of up to 44% of the baseline hematocrit has been reported . Development of an atheromatous plaque perpetuates endothelial dysfunction and promotes platelet aggregation and intracoronary thrombus formation (Ajayi et al 1995; Nieminen et al 1996). Moreover, a component of endothelial dysfunction has been proposed, which can contribute to irregular vessel reactivity. However, testosterone in physiologic doses might even be useful in patients with angina , have higher ischemic thresholds and improved quality of life .

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