Ive been concerned about the risk previously but now the data is certainly more convincing in the association can be identified and classified to those with BASELINE HTN. The latter has only recently been elucidated in the literature IMO.
It's been known for some time both and aerobic and anaerobic exercise may result in the "athletic heart syndrome" but to what extent AAS are causative remains questionable, especially in the absence of HTN. This is the unknown I've questioned previously and still do bc the evidence is lacking.
More importantly to what extent is the cardiomegaly seen in the AHS reversible once AAS and/or excecise are discontinued? This is a critical point bc reversibility defines the AHS and differentiates it from HYPERTROPHY esp concentric vs eccentric.
I mean if AAS was all that is required for LVH then we would be seeing A LOT of "athletes" with big hearts, so something else IS REQUIRED. It's for this reason I take issue with the notion AAS are exclusively responsible for LVH, when its clear they are NOT!
It's been known for some time both and aerobic and anaerobic exercise may result in the "athletic heart syndrome" but to what extent AAS are causative remains questionable, especially in the absence of HTN. This is the unknown I've questioned previously and still do bc the evidence is lacking.
More importantly to what extent is the cardiomegaly seen in the AHS reversible once AAS and/or excecise are discontinued? This is a critical point bc reversibility defines the AHS and differentiates it from HYPERTROPHY esp concentric vs eccentric.
I mean if AAS was all that is required for LVH then we would be seeing A LOT of "athletes" with big hearts, so something else IS REQUIRED. It's for this reason I take issue with the notion AAS are exclusively responsible for LVH, when its clear they are NOT!
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