Ilonze, Onyedika J.Enyi, Chioma O.Ilonze, Chibuzo C.2023-06-192023-06-192022-03-17Ilonze OJ, Enyi CO, Ilonze CC. Cardiomyopathy and heart failure secondary to anabolic-androgen steroid abuse. Proc (Bayl Univ Med Cent). 2022;35(3):363-365. Published 2022 Mar 17. doi:10.1080/08998280.2022.2039496https://hdl.handle.net/1805/33843Bodybuilders often use anabolic-androgenic steroids to improve performance. We report a case of a 30-year-old male bodybuilder with anabolic-androgen steroid abuse while getting ready for a bodybuilding contest. He had New York Heart Association class IV heart failure, severe nonischemic dilated cardiomyopathy, new-onset atrial fibrillation, cardiogenic pulmonary edema, and acute respiratory distress requiring mechanical ventilation. After 6 months of heart failure guideline-directed medical therapy, cessation of anabolic steroids, and maintenance of sinus rhythm, his ejection fraction improved.en-USPublisher PolicyAnabolic-androgen steroidGuideline-directed medical therapyHeart failureNonischemic cardiomyopathyArticle