Abstract: Anabolic androgenic steroids (AAS) have a number of adverse effects on the cardiovascular system that can lead to sudden cardiac death. Long-term abuse of anabolic steroids by athletes has been reported by many researchers to result in a low cardiac ejection fraction. Anabolic androgenic steroid abuse has been associated with acute myocardial infarction and fatal ventricular arrhythmias. Anabolic steroids are not only present in professional sports but also affect amateur athletes who are making increased use of performance-enhancing drugs. The primary objective of the article is to improve awareness of the risk factors and consequences of adverse effects of anabolic steroids by athletes and to save the lives of athletes due to heart attack (myocardial infarction). Anabolic androgenic steroids are the most commonly used substances. To improve an athlete's exercise performance and body image. Heart attack is scientifically also known as acute myocardial infarction, which occurs when the blood supply to the heart is cut off or a clot forms. Heart disease is still the leading cause of death in India. Common risk factors and causes of heart attack are diabetes, high blood pressure, obesity, family history of heart disease, sedentary lifestyle, smoking, occupational and academic stress, drinking too much alcohol, poor dietary habits, HIV, high cholesterol level and old age etc. Excessive use of anabolic steroids has been associated with the development of a reversible dilated cardiomyopathy and potentially severe heart failure and cardiac arrest.

Key Words: Myocardial infarction, cholesterol, sudden cardiac, Lipids, Left ventricular hypertrophy,Athletes

| DOI: 10.17148/IARJSET.2023.10424