Enlarged Heart Left Side Ventricle

[47Ronin]

Recently went through a preop evaluation for surgery came up with an abnormal EKG visited the cardiologist who confirmed that I do have borderline heart enlargement left side of ventricle, whether it is reversible or not is to be determined, but I can’t help but think that I brought this on myself at 36 years old for abusing steroids for the past four or five years of my life.

When I say using, I mean, taking steroids without a prescription, including trenbolone Dianabol, anadrol, superdrol,Winny, EQ masterone deca, testosterone. Of course I haven’t taken all those compounds at the same time, but I’ve tried multiple different types of cycles. I mean, I could’ve also brought this on myself from over a decade of cocaine, heroin, and painkiller abuse. I could also just be genetically predisposed. It could also be all the above.

I’m right at the borderline meaning It’s up to me how this plays out so obviously I’m really rethinking taking any type of steroids other than basic testosterone doses. If I just do basic cycles a little bit of test, some
EQ for vascularity replace the tren with Primo and stick to smaller doses I will be fine.

I guess the point of this post is just to get your overall opinion. Do you think I will be fine if just do Sustanon for TRT purposes and of course continue a healthy diet and work out regimen?

 

[RockyP]

Do you have hypertension?

 

[47Ronin]

Do you have hypertension?

at times yes. It comes and goes. I’ve had that problem even before I ever touched a steroid at the age of 30.

 

[RockyP]

at times yes. It comes and goes. I’ve had that problem even before I ever touched a steroid at the age of 30.

Is it treated? That can be a significant contributor to LVH. Steroids obviously will make it worse.

 

[newguy2]

Recently went through a preop evaluation for surgery came up with an abnormal EKG visited the cardiologist who confirmed that I do have borderline heart enlargement left side of ventricle, whether it is reversible or not is to be determined,

Do you mean reversible by lifestyle changes or medical intervention?

 

[Elektrobot]

Recently went through a preop evaluation for surgery came up with an abnormal EKG visited the cardiologist who confirmed that I do have borderline heart enlargement left side of ventricle, whether it is reversible or not is to be determined, but I can’t help but think that I brought this on myself at 36 years old for abusing steroids for the past four or five years of my life.

When I say using, I mean, taking steroids without a prescription, including trenbolone Dianabol, anadrol, superdrol,Winny, EQ masterone deca, testosterone. Of course I haven’t taken all those compounds at the same time, but I’ve tried multiple different types of cycles. I mean, I could’ve also brought this on myself from over a decade of cocaine, heroin, and painkiller abuse. I could also just be genetically predisposed. It could also be all the above.

I’m right at the borderline meaning It’s up to me how this plays out so obviously I’m really rethinking taking any type of steroids other than basic testosterone doses. If I just do basic cycles a little bit of test, some
EQ for vascularity replace the tren with Primo and stick to smaller doses I will be fine.

I guess the point of this post is just to get your overall opinion. Do you think I will be fine if just do Sustanon for TRT purposes and of course continue a healthy diet and work out regimen?

What did they base this diagnosis on? An echocardiogram? MRI?

I’ve had conflicting results given between thE two. If you haven’t already, try to get a cardiac MRI.

Address your blood pressure

Get a sleep apnea machine

 

[47Ronin]

Do you mean reversible by lifestyle changes or medical intervention?

Through lifestyle changes. It really isn’t much to change as I eat healthy I work out daily pretty much. I don’t smoke or drink. The only thing that could be contributing to anything like that right now would be hypertension and obviously steroids.

The doctor wants to see me again in six months to see if there is any improvement if there is not he’s likely, he’s gonna put me on some medicine.

 

[47Ronin]

What did they base this diagnosis on? An echocardiogram? MRI?

I’ve had conflicting results given between thE two. If you haven’t already, try to get a cardiac MRI.

Address your blood pressure

Get a sleep apnea machine

I had an EKG and then

What did they base this diagnosis on? An echocardiogram? MRI?

I’ve had conflicting results given between thE two. If you haven’t already, try to get a cardiac MRI.

Address your blood pressure

Get a sleep apnea machine

just the EKG and the Echocardiogram. The ultrasound pretty much confirmed the EKG results, and it was pretty clear that the one side was pumping better than the other side. Overall he didn’t see it as a serious threat yet. He said to take this as a warning to make some changes. By changes I’m assuming he means stop the steroids because other the that I’m pretty healthy

I was very upfront about my steroid use.

 

[Photon]

I had an EKG and then

just the EKG and the Echocardiogram. The ultrasound pretty much confirmed the EKG results, and it was pretty clear that the one side was pumping better than the other side. Overall he didn’t see it as a serious threat yet. He said to take this as a warning to make some changes. By changes I’m assuming he means stop the steroids because other the that I’m pretty healthy

I was very upfront about my steroid use.

LVH is not going to magically go away in 6 months.

Get your bp under control.
Hop on Eplerenone, depending on the level of LVH, it can be reversed.

Maybe look for a younger, more aggressive cardiologist while you're at it.

 

[47Ronin]

Is it treated? That can be a significant contributor to LVH. Steroids obviously will make it worse.

Yea. He wants to see me again. Sex wants to see if there’s any improvement. If not, he’s gonna start me on some meds. He wants to see if I can learn to control my hypertension because it fluctuates when I have high anxiety. My blood pressure goes up as I’m sure most people do but mine goes up to 140-150 over 90. When I’m completely rested it’s usually about 125/80.

I know, steroids contribute to hypertension in a big way, but I definitely don’t want to put myself into that category where I have an enlarged heart because of the steroids increasing the hypertension.

 

[47Ronin]

LVH is not going to magically go away in 6 months.

Get your bp under control.
Hop on Eplerenone, depending on the level of LVH, it can be reversed.

Maybe look for a younger, more aggressive cardiologist while you're at it.

That’s probably a good idea. He was very old. lol he’s been at the same office for over 45 years.

I’m gonna make another appointment with somebody else to get my blood pressure under control.

 

[Deadpool99]

I'm not the most knowledgeable in this area but I have a question in this regard.
And my intention is purely to question my understanding.

Aside from the cocaine and other issues. Doesn't abusing anabolic steroids/HGH long term is essentially accepting that LVH becomes a likely scenario, since multiple studies show of chronic users develop it regardless of having normal bloodwork.

Of course there is many ways to mitigate it, but would you be surprised if you you accumulated LVH after years of abusing steroids?
I always assumed it was a risk many are wiling to live with.

Of course I believe there are many ways to mitigate it and try and avoid it but not everyone does everything by the book.

 

[47Ronin]

I'm not the most knowledgeable in this area but I have a question in this regard.
And my intention is purely to question my understanding.

Aside from the cocaine and other issues. Doesn't abusing anabolic steroids/HGH long term is essentially accepting that LVH becomes a likely scenario, since multiple studies show of chronic users develop it regardless of having normal bloodwork.

Of course there is many ways to mitigate it, but would you be surprised if you you accumulated LVH after years of abusing steroids?
I always assumed it was a risk many are wiling to live with.

Of course I believe there are many ways to mitigate it and try and avoid it but not everyone does everything by the book.

I’ve always known it was a risk. Of course. I didn’t think I’d have borderline heart enlargement at 36 though. I’m still kind of newbie. I know guys my age that have been running shit since they were in high school with out any problems that I know of anyways. The first time I touched a steroid I was 30. I haven’t done it every day for 6 years lmao but any time I do cycle in the last 3 years Tren is always involved. The reason for my post was to get some personal experience and opinion on steroid usage knowing you are confirmed to be at risk of possibly permanent damage to your heart. I simply wanted to know if it’s possible to continue doing cycles for a few more years or if I should I tone it down a bit with simple cruise doses (trt doses) or if I should just quit altogether. Basically what can I do to continue or should I just stop? I really don’t want to stop anytime soon. I love building my body and I’d be a liar if I said I didn’t like the feeling of an amazing pump being on gear.

 

[Ghoul]

~95% of clinically significant LVH in AAS users happens in the context of elevated BP, high cholesterol. or stenosis (stiff valves, a process accelerated by high BP and cholesterol).

If you get your BP and lipids into ideal range, unless you have significant stenosis, you can almost certainly reverse most if not all the LVH (how many mm?) within a year or two and still use AAS with a very low risk of it returning.

We know what it takes to get those markers into ideal range, but an aggressive preventive cardiologist will be useful for accessing those meds and monitoring your progress. You'll also have to ditch the outdated "Pharmaphobia" that many still suffer from as a result of previous generation meds that had many "off target" effects and unknown outcomes.

The good news is this is likely a "near miss" that will get you to be serious about BP and lipids, and head those risk factors off earlier in life than most of your same age peers, preventing, and reversing damage that could ultimately safe you from a heart attack or stroke down the road.

Then you'll be the "I knew a guy who did tons of drugs, Coke, opioid, even steroids, and that fucker is 100 years old, so they must not be bad for you."

 

[Deadpool99]

~95% of clinically significant LVH in AAS users happens in the context of elevated BP, high cholesterol. or stenosis (stiff valves, a process accelerated by high BP and cholesterol).

If you get your BP and lipids into ideal range, unless you have significant stenosis, you can almost certainly reverse most if not all the LVH (how many mm?) within a year or two and still use AAS with a very low risk of it returning.

We know what it takes to get those markers into ideal range, but an aggressive preventive cardiologist will be useful for accessing those meds and monitoring your progress. You'll also have to ditch the outdated "Pharmaphobia" that many still suffer from as a result of previous generation meds that had many "off target" effects and unknown outcomes.

I also like to believe that preventative measures, for example Telmisartan, Eplerenone, Jardiance, maybe even Cialis could possibly mitigate it

 

[bananafeet]

Recently went through a preop evaluation for surgery came up with an abnormal EKG visited the cardiologist who confirmed that I do have borderline heart enlargement left side of ventricle, whether it is reversible or not is to be determined, but I can’t help but think that I brought this on myself at 36 years old for abusing steroids for the past four or five years of my life.

When I say using, I mean, taking steroids without a prescription, including trenbolone Dianabol, anadrol, superdrol,Winny, EQ masterone deca, testosterone. Of course I haven’t taken all those compounds at the same time, but I’ve tried multiple different types of cycles. I mean, I could’ve also brought this on myself from over a decade of cocaine, heroin, and painkiller abuse. I could also just be genetically predisposed. It could also be all the above.

I’m right at the borderline meaning It’s up to me how this plays out so obviously I’m really rethinking taking any type of steroids other than basic testosterone doses. If I just do basic cycles a little bit of test, some
EQ for vascularity replace the tren with Primo and stick to smaller doses I will be fine.

I guess the point of this post is just to get your overall opinion. Do you think I will be fine if just do Sustanon for TRT purposes and of course continue a healthy diet and work out regimen?

I am not encouraging you to take steroids. But I had a thickened left ventricle when I was hypogonadal and obese.

Do you have sleep apnea? What about anxiety?

All these can contribute

 

[fw190jd]

Recently went through a preop evaluation for surgery came up with an abnormal EKG visited the cardiologist who confirmed that I do have borderline heart enlargement left side of ventricle, whether it is reversible or not is to be determined, but I can’t help but think that I brought this on myself at 36 years old for abusing steroids for the past four or five years of my life.

When I say using, I mean, taking steroids without a prescription, including trenbolone Dianabol, anadrol, superdrol,Winny, EQ masterone deca, testosterone. Of course I haven’t taken all those compounds at the same time, but I’ve tried multiple different types of cycles. I mean, I could’ve also brought this on myself from over a decade of cocaine, heroin, and painkiller abuse. I could also just be genetically predisposed. It could also be all the above.

I’m right at the borderline meaning It’s up to me how this plays out so obviously I’m really rethinking taking any type of steroids other than basic testosterone doses. If I just do basic cycles a little bit of test, some
EQ for vascularity replace the tren with Primo and stick to smaller doses I will be fine.

I guess the point of this post is just to get your overall opinion. Do you think I will be fine if just do Sustanon for TRT purposes and of course continue a healthy diet and work out regimen?

Well since you already did all the other stuff in your curiosity has been satisfied why not just a healthy lifestyle and some just testosterone nothing wrong with that. You could also incorporate some peptides? If you're a curiosity is still lingers

 

[Deadpool99]

I’ve always known it was a risk. Of course. I didn’t think I’d have borderline heart enlargement at 36 though. I’m still kind of newbie. I know guys my age that have been running shit since they were in high school with out any problems that I know of anyways. The first time I touched a steroid I was 30. I haven’t done it every day for 6 years lmao but any time I do cycle in the last 3 years Tren is always involved. The reason for my post was to get some personal experience and opinion on steroid usage knowing you are confirmed to be at risk of possibly permanent damage to your heart. I simply wanted to know if it’s possible to continue doing cycles for a few more years or if I should I tone it down a bit with simple cruise doses (trt doses) or if I should just quit altogether. Basically what can I do to continue or should I just stop? I really don’t want to stop anytime soon. I love building my body and I’d be a liar if I said I didn’t like the feeling of an amazing pump being on gear.

If you want the safest route, stop and go natural, that’s your best shot at regression.

If you can’t accept that yet, the compromise is TRT-only with strict monitoring.

Continuing to cycle, even ‘milder’ compounds, is still choosing progression you can slow the damage, but you can’t pretend it’s harmless.

You can assume drugs like eplerenone, telmisartan, and empagliflozin help but they’re adjuncts, not shields. They don’t cancel out AAS cardiac toxicity.

The only proven way to stop progression is stopping supraphysiologic androgen exposure.

In my humble opinion.

 

[47Ronin]

I am not encouraging you to take steroids. But I had a thickened left ventricle when I was hypogonadal and obese.

Do you have sleep apnea? What about anxiety?

All these can contribute

No Sleep apnea. Never been obese but I do have anxiety and high levels of stress. It’s mostly situational though. Just the typical trying to survive in the USA with an above average income, living with a fiancé and kids kind of stress and anxiety. Fitness is my outlet. Always has been. Someone mentioned before that I should look for a younger and more aggressive cardiologist. I think that is the first step from here.

He was extremely intelligent but definitely old school. He told me I need to be below 200 lbs lol. I’m 215 right now pretty much no fat. My point is he’s obviously using the outdated BMI metrics which just isn’t right. Obviously if I was walking around looking like a Jay Cutler Rich Piana, that’s completely different. That puts a shit ton of stress on your body but 215-220 pounds at 511 maybe 7% body fat is not at all unhealthy

 

[47Ronin]

If you want the safest route, stop and go natural, that’s your best shot at regression.

If you can’t accept that yet, the compromise is TRT-only with strict monitoring.

Continuing to cycle, even ‘milder’ compounds, is still choosing progression you can slow the damage, but you can’t pretend it’s harmless.

You can assume drugs like eplerenone, telmisartan, and empagliflozin help but they’re adjuncts, not shields. They don’t cancel out AAS cardiac toxicity.

The only proven way to stop progression is stopping supraphysiologic androgen exposure.

In my humble opinion.

Absolutely… I agree

This is one of those topics where you know what the 100% right thing to do is. It’s just a decision you have to make with yourself what you’re willing to sacrifice. I appreciate everyone’s opinions and advice on the subject.