Rich Piana in coma possible overdose?

Telmisartan + left ventricular hypertrophy
I could be wrong, but I believe Dave polumbo said lisinopril is good for guys that cycle because it can prevent heart remodeling. Telmisartan sounds like it has positive benefits physique wise. I never heard if bp meds being cycled.
 
I could be wrong, but I believe Dave polumbo said lisinopril is good for guys that cycle because it can prevent heart remodeling. Telmisartan sounds like it has positive benefits physique wise. I never heard if bp meds being cycled.

Dave P suggestion is analogous to
the use of liver supplements as a means of reducing AAS related hepatic toxicity.

And that's bc almost all
anti-hypertensives including ARBs, ACE-I, Ca blocker etc, improve or reduce LVH in hypertensive patients.

So the most reliable means of
diminishing the development of LVH is careful BP monitoring, something FEW cyclist do.

Also it's important to remember bc the development of LVH is a NATURAL physiologic response to exercise, the suggestion it must be "prevented" per se is overlooking this fac.

In fact what defines the "athletes heart" is near completed resolution (of LVH) upon discontinuation of the underlying cause exercise. -----

The distinction then becomes, do AAS play a significant role in the development of LVH, as myocardial muscle AR agonists,
and how much of those "gains" are maintained!

The answer is not yet known or remains poorly defined but the evidence strongly suggests the use of AAS, esp in high dosages for extended periods, are more likely than not to be a separate cardiac risk factor.

All that being said, the risk (whatever it is) AAS pose to "older" BB pales in comparison to the use of recreational CNS stimulant drugs!
 
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Some folk, and RP was definitely one of them, are unable to grasp the concept of MODERATION, "CYCLING" or how about "cycling in moderation"!
 
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Some folk, and RP was definitely one of them, are unable to grasp the concept of MODERATION, "CYCLING" or how about "cycling in moderation"!
I just spent 30 mins looking up some of the shit you said in that last post. The vocabulary obviously belongs to that of some who has a better understanding of the human body the I.

I do understand what moderation means believe it or not. That's one thing I got out of all that. Lol

My old man did have high BP for 20+ years. I was told that caused his enlarged heart.
 
I just spent 30 mins looking up some of the shit you said in that last post. The vocabulary obviously belongs to that of some who has a better understanding of the human body the I.

I do understand what moderation means believe it or not. That's one thing I got out of all that. Lol

My old man did have high BP for 20+ years. I was told that caused his enlarged heart.

I'm on my IPhone so I can't do it now but for many a PICTURE speaks a 1000 words so a simple suggestion might help.

Go to Google images and pull up
TWO pics and compare the following "four chamber LVH" autopsy VS a "four chamber normal heart" autopsy PICS

Bottom line bc LVH diminishes the ventricles CHAMBER size less blood is forced out with each beat. The body tries to compensate by increasing HR,
but that too has its limitations.

Jim
.
 
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The net effect is the ol ticker must work harder to meet metabolic demands and much like a V6 F-150 CAN pull a "heavy load" for extended periods BUT challenged to pull the same "heavy load" after a couple pistons are knocked out and eventually it will FAIL
 
I see the difference. It all makes sense on how it works and the body compensating.
This is something that supposedly runs in the family but I think it's going to end here.
 
I see the difference. It all makes sense on how it works and the body compensating.
This is something that supposedly runs in the family but I think it's going to end here.


Watch your BP closely and let your Doc know "heart problems" tend to run in the family.
 
@Dr JIM
Doctor knows about it already and I have a blood pressure machine here at home. I like to stay in the dead center of the green.
There was an old thread on how to keep blood pressure down with natural supplements. Might hunt that down.
Thanks.
 
@Dr JIM
Doctor knows about it already and I have a blood pressure machine here at home. I like to stay in the dead center of the green.
There was an old thread on how to keep blood pressure down with natural supplements. Might hunt that down.
Thanks.
If you find it can you link it here plz, thanks.
 
Wasn't a fan of the guy but it's always a shame when this happens. It sucks because, well, the guy died and because of the additional negative publicity on AAS in general. Guy was a poster child for over the top and insane. RIP man.
 
Blood pressure 130 over 90
@Jeremiahflex
If you type in the search bar "blood pressure" theres a bunch that come up. Some are short and others got some good info. I just counted 4 natural things to take that will help with BP. CoQ10 someone mention which is suppose to be good for the heart too.
Donating blood is another huge factor. Wish I could draw blood myself so I don't have to get a 16g needle stuck in my arm.
 
I'm on my IPhone so I can't do it now but for many a PICTURE speaks a 1000 words so a simple suggestion might help.

Go to Google images and pull up
TWO pics and compare the following "four chamber LVH" autopsy VS a "four chamber normal heart" autopsy PICS

Bottom line bc LVH diminishes the ventricles CHAMBER size less blood is forced out with each beat. The body tries to compensate by increasing HR,
but that too has its limitations.

Jim
.
Thanks doc
 
Is vomitting a sign of impending death with known heart problems?

Yes! I lost my uncle last year who had heart failure. He died on the golf course after puking multiple times but saying he would be ok and just lay down and rest at home. He never made it home. Dying in the front seat of his car.
 
And it's starting...

"Celebrity bodybuilder Rich Piana died last week at 46 years old from a suspected steroid overdose that put him in a coma for two weeks. "

Source: Experts on why steroids damage your body and mind | Daily Mail Online

The New Indian Express, an Indian English-language newspaper based in Chennai, reported deaths of Rich Piana and Dallas McCarver and stated that "overdose of steroids" was the cause of Piana's death while citing top Indian cardiologist to support its case:

Rich Piana and Mc Carver, the two bodybuilders who died, are suspected to have abused PEDs in their professional careers. Piana reportedly died due to the overdose of steroids and the other due to food choking.

[...]

When such drugs are taken, naturally the muscle mass increases the load on the heart which can lead to a premature cardiac arrest. The complications will only come to light after its usage is stopped,” said A Sharath Reddy, a senior consultant interventional cardiologist.

Of course, the article also cited a sports nutritionist who warned about the unwanted side effect of bloating that resulting from a recommended steroid detox program involving coconut water!

Source: Steroid abuse can lead to cardiac arrest, say experts
 
I'm on my IPhone so I can't do it now but for many a PICTURE speaks a 1000 words so a simple suggestion might help.

Go to Google images and pull up
TWO pics and compare the following "four chamber LVH" autopsy VS a "four chamber normal heart" autopsy PICS

Bottom line bc LVH diminishes the ventricles CHAMBER size less blood is forced out with each beat. The body tries to compensate by increasing HR,
but that too has its limitations.

Jim
.

Here's a comparison to that which I was referring to above, and is the type of "gains" no one wants!

FYI the "string like" lattice network seen in the larger "normal" view pic are anchorings for the valves called Chordae T.

Finally only the PIC below that which is labeled normal is indeed NORMAL.
 

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Here's a comparison to that which I was referring to above, and is the type of "gains" no one wants!

FYI the "string like" lattice network seen in the larger "normal" view pic are anchorings for the valves called Chordae T.

Finally only the PIC below that which is labeled normal is indeed NORMAL.
And cardio is supposed to stop this from happening...?
 
The New Indian Express, an Indian English-language newspaper based in Chennai, reported deaths of Rich Piana and Dallas McCarver and stated that "overdose of steroids" was the cause of Piana's death while citing top Indian cardiologist to support its case:

Rich Piana and Mc Carver, the two bodybuilders who died, are suspected to have abused PEDs in their professional careers. Piana reportedly died due to the overdose of steroids and the other due to food choking.

[...]

When such drugs are taken, naturally the muscle mass increases the load on the heart which can lead to a premature cardiac arrest. The complications will only come to light after its usage is stopped,” said A Sharath Reddy, a senior consultant interventional cardiologist.

Of course, the article also cited a sports nutritionist who warned about the unwanted side effect of bloating that resulting from a recommended steroid detox program involving coconut water!

Source: Steroid abuse can lead to cardiac arrest, say experts

I'd like to believe most folk would realize media outlets like "The New Indian Express" lack evidence based credibility when citing hyperbole such as "Oral steroids are extremely toxic to the liver" or my favorite the use of "coconut milk as part of the detoxification process". (Whenever I note a physician is making such dogmatic, carte blanche and ill define statements I begin to question whether bias is to blame or perhaps their background, training and experience are at fault)

And from a professional perspective I can also posit, similar "educational" gaps usually extend to involve a majority of Foreign Medical Graduates including "medical specialists", cardiology in particular.

And for this reason almost all FMGs are required to complete a formal residency in addition to subspecialty training as a requisite for US board eligibility.

And to that end I'm not surprised to see the source of PED information often defines it's reliability.
 
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And it's starting...

"Celebrity bodybuilder Rich Piana died last week at 46 years old from a suspected steroid overdose that put him in a coma for two weeks. "

Source: Experts on why steroids damage your body and mind | Daily Mail Online

Rich Piana didn't like going to the doctor and had unexplained vomiting and shortness of breath in the days before his heart attack according to his girlfriend:

“They said he had no chance of a meaningful recovery and he was in a vegetative state,” Jansen told PEOPLE exclusively. “I said, ‘It’s a good thing it’s not up to me, because I love him so much I’m too selfish to make that decision [to take him off life support].’ He was breathing on his own for nearly a week, and then he just let go.”

"She said she had suspected that something was wrong with Piana, who has a history of steroid use, a few days prior to his heart attack, when the couple was visiting Los Angeles and Piana had two episodes of vomiting and difficultly breathing. She pushed him to go to the hospital, but Piana kept refusing.

"He hates going to the doctor, he hates going to the hospital; so he was just like, ‘No I’m fine,’ ” Jansen says. “He was the kind of guy who wouldn’t tell you he wasn’t feeling well. He was just real stubborn. He didn’t want to show that he was in pain or hurt
."
Source: http://people.com/bodies/rich-pianas-girlfriend-denies-he-took-drugs/

In response to the deaths of Rich Piana and Dallas McCarver, Dr. Irving Sobel, an internist with the Access Medical Group of Marina del Rey, told HollywoodLife.com that steroid abuse "can lead to overdose":

Abusing anabolic steroids can lead to overdose. Symptoms of a steroid overdose include stroke, coma, heart attack and convulsions. Longterm abuse affects so many areas of the body including the adrenal glands, the heart, mental health and it can often lead to liver cancer.”

Source: http://hollywoodlife.com/2017/08/25/dallas-mccarver-rich-piana-steroid-use-abuse-deaths/
 
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