What effects do anabolic steroids have on the blood vessels?



 
      Steroid abuse leads to hardening of the arteries early in
 life:  High-dose anabolic users have decreased elastin and
 increased collagen in the walls of their blood vessels.(1) 
 This stiffens the arterial walls.  

      For reasons that are not well understood, the body responds to
 its own testosterone differently than it responds to male hormones
 from other sources.(2)  For example, testosterone made by
 the body decreases cholesterol in the blood, while anabolic
 steroids from outside the body increase cholesterol.(2) 
 Anabolic steroids from outside the body decrease the amount of HDL
 and increase the amount of LDL and triglycerides in the
 blood.(2-5)  This raises the amount of
 cholesterol in the blood.(1,6,7)  Blood levels of
 HDL, LDL and triglycerides gradually return to normal after
 steroids are stopped.(3-5)  However, continuous
 steroid abuse maintains blood conditions that harden the arteries
 and lead to heart attacks.(7,8)
 
 REFERENCES
 
 1.   Ferenchick GS. Anabolic androgenic steroid abuse and
      thrombosis - is there a connection. Med Hypoth 1991
      May;35(1):27-31.
 
 2.   Gutai J, LaPorte R, Kuller L, Dai W, Falvo-Gerard L, Caggiula
      A. Plasma testosterone, high density lipoprotein cholesterol
      and other lipoprotein fractions. Am J Cardiol 1981
      Nov;48(5):897-902.
 
 3.   Moffatt RJ, Wallace MB, Sady SP. Effects of anabolic steroids
      on lipoprotein profiles of female weight lifters. Physician
      And Sportsmedicine 1990 Sep;18(9):106-0.
 
 4.   Baldoenzi G, Giada F, Zuliani G, Baroni L, Vitale E, Enzi G,
      Magnanini P, Fellin R. Lipid and apoprotein modifications in
      body builders during and after self-administration of anabolic
      steroids. Metabolism Clinical And Experimental 1990
      Feb;39(2):203-8.
 
 5.   Frohlich J, Kullmer T, Urhausen A, Bergmann R, Kindermann W.
      Lipid profile of body builders with and without self-
      administration of anabolic steroids. European Journal Of
      Applied Physiology And Occupational Physiology 1989 Sep;59(1-
      2):98-103.
 
 6.   Wilson JD. Androgen abuse by athletes. Endocrine Reviews
      1988;9(2):181-99.
 
 7.   Bowman S. Anabolic steroids and infarction. British Medical
      Journal 1990 Mar 17;300(6726):750.
 
 8.   Lorimer DA, Hart LL. Cardiac dysfunction in athletes receiving
      anabolic steroids. DICP Ann Pharmacother 1990 Nov;24(11):1060-
      1.


 by Trent Tschirgi, R. Ph.
 (c) 1992 University of Maryland Office of Substance Abuse Studies.
 All Rights Reserved.


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