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The ASD

muscle-doc

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a P message for wetback arrive to me
in which he ask:

"It's my understanding you are a Doc in S. America ???

I was hoping for some help. I am looking to do a Deca\Sust cycle(first one). I had ASD as a child. It was repaired at 5 years old. There was nothing synthetic used, it was a very minor hole. Since then I have had a clean health history, besides some self-inflicted anxiety.

I am a 35yo male, 162lbs. BP 117/70, and Cholesterol 118. I was wondering what your opinion on it is. I am seeing my doc tomorrow and am just looking for suggestions on what to ask or another doctors thoughts.

Thanks,
Wetback"

The ASD (atrial septal defect) is a congenital defect, that persists later to the born. in which the intracardiacs pressures don't compensate the solution of the defect. When this problem persists in the time, the surgical is the solution, like in the case of the friend.

once resolved the problem the life is normal as any person, an he can use roids, under the doctor´s supervition, of course.

(ASD) is a hole in the wall between the heart's upper chambers (atria). The hole allows blood to seep from the left atrium into the right atrium. This results in too much blood flow to the right side of the heart and lungs. The more blood that is diverted to the right side of the heart, the harder the lungs and right ventricle must work to compensate for the problem.

Eventually, the stress on the right ventricle can cause it to weaken and/or enlarge (dilate) to compensate for the increased workload. Also, the lungs can become congested upon receiving more blood than is needed.

One of the bigger problems associated to the use of Roids in this case, is in the pregnant woman where the closing hole are prematurely in the fetus. Not is the case of the friend, I doubt about his pregnancy. Hehehehe.

A hug
Sorry for my english.
 
Muscle doc, I warned him about an increased risk of endocarditis at the surgical site, and the consequences of a series of IM injections without proper antibiotic profilaxis. I´m not positively sure that endocarditis risk would increase in his case, since the comunication was sew and not patched.But there might be a scar in the site, that would be more susceptible to grow bacteria in case of bacteremia (contaminated gear, improper injection technic/ antissepsia)... Do you think I´m exagerating?
 
Hey RIO, I dont mean to knit pick so please dont take it that way, just a little skeptical for the endo post-repair. An asd is indeed a communcation with the left and rt atrium. For background, everyone has a whole there, its necessary for blood to flow during life in the womb, its there so umbilical blood can flow across into the left side of the heart which pumps it out to the body. The rt heart pumps blood to the lungs, but since you a living in fluid in the womb, the lungs dont breathe air. Typically the blood oxygenation is not a problem b/c the Left side is under higher pressure, it typically means that the oxygenated blood leaks L>R, not the other way around so the oxyenation on the right goes up, but the low o2 blood doesnt mix across. If left untreated increased pressure in the lungs will reverse the shunt so its R>L called eisenmengers syndrome and of sourse you rt heart has failed by that time. There is a risk of stroke from paradoxical embolus created in the legs, but if it is truly fixed then this wont happen.
The endocarditis is a risk if its open but, but only with dental work and IV shots, not IM- again this wont happen unless its still open or you. IF the asd is closed there is no greater risk to you than the general population of using AAS. This of course, is not to replace your physician, so Id recommend a bubble study with ultrasound at a cardiologist to be truly safe. They basically inject air into the vein and see if it crosses the septum using ultrasound. This is an interesting remnant from your embryo days. Usually they close by them selves shortly after birth and are more common than youd think. I see these alot especially in newborn hearts, especially if they are premature.
 
Yeah, thanks too, good posts though, better safe than sorry, but I specialize in the heart so I deal with alot. Take it easy bro
 
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