Anabolic-androgenic steroid abuse is prevalent and has been associated
with numerous adverse effects. The case being presented is of an amat
eur weight trainer, who suffered an acute myocardial infarction; his o
nly significant risk factor was his nonmedical use of an anabolic ster
oid, nandrolone decanoate. This case presentation discusses the hemato
logic effects of this class of drugs and the subsequent impact on isch
emic heart disease.