Abstract
We describe a case report of a 35-year-old bodybuilder suffering from an acute myocardial infarct (AMI). He had been taking trenbolone acetate, testosterone enanthate, and nandrolone for six weeks. The coronary angiogram showed an 80% lesion in the mid-segment of the obtuse marginal artery. A few cases of AMI in athletes taking anabolic steroids (AS) have been reported. Physicians should always consider and inquire about AS use as a potential culprit among athletes with AMI. Multiple plausible mechanisms explain the pathophysiology of AMI in AS users.