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The Heart of Athletes Who Take Anabolic Steroids In the cardiovascular system, the well-recognized and concerning side effects are ischemic heart disease (angina pectoris, myocardial infarction), dyslipidemia (increased cholesterol and/or triglycerides), and cardiomyopathies. Well-recognized, but less common or less serious, are arrhythmias, coagulation disorders, polycythemia, and high blood pressure. In the liver, the well-recognized but less …