Anabolic-androgenic steroid (AAS) use is common among young males, inc
luding adolescents. There have been several anecdotal reports of sever
e cardiovascular events in self-reported young users of AAS, including
acute myocardial infarction, sudden cardiac death, and cardiomyopathy
. We present an additional case of a young male weight lifter who pres
ented with dyspnea and chest pain attributable to dilated cardiomyopat
hy (DC), his only known risk factor being the recent use of AAS. The p
ossible role of AAS in the development of DC is discussed.