Had a Heart Attack today at age ~30. Be safe guys.

Well, it finally happened to me.

Near end of my workout today I start feeling chest tightness & pain, hard to breathe.
Go to emergency room, get told I'm having a heart attack (STEMi).

"A 99% subtotal blockage was found in the second obtuse marginal (OM2) branch of left circumflex (LCx) artery."

Likely from vulnerable plaque rupturing during the workout and the thrombosis that follows narrowing the artery.
Single-vessel disease, no other obstructive disease discovered during angiogram.

Code:
- Impression: Inferior ST elevation microinfarction with culprit lesion of second obtuse marginal 99 percent subtotal occlusion
- Successful imaging guided primary PCI of second obtuse marginal with 3 x 20 mm Synergy stent
- Normal LVEDP
- No aortic stenosis
- Recommendation
  - Start aspirin 81 mg daily for lifelong
  - Start Brilinta 90 mg twice a day for at least one year
  - Start high intensity statin therapy for goal of less than 55
  - Obtain echocardiogram
  - Cardiac rehabilitation referral

Summary of Echocardiogram w/ contrast performed afterwards:
Code:
- Mildly dilated left ventricle
- Moderate concentric LV hypertrophy
- Mildly reduced LV systolic function
- EF 45–50% (down from 55% post-op, plausible post-MI myocardial "stunning", expect recovery)
- Hypokinesis of inferoposterior wall
- Mild to moderately enlarged left atrium
- Mild to moderate mitral regurgitation
- Mild tricuspid regurgitation
- Mild pulmonic regurgitation

Stay safe, folks.
I can't tell how serious it was by reading that. I'm hoping the fact that you were able to write all that and post it means that the heart attack was "mild." I wish you the best.
 
I'm not sure if you're on ephlerone (don't see it mentioned here) but I'd try and get it added as well.
I was looking into that recently, but as a mild diuretic, to help with face bloat and also for contest prep

Didn't know it was heart-healthy as well. I'm on a lot of meds now so I need to be really careful about interactions, but I'll check into this, thanks!

Did AAS play a large role in the plaque buildup?
I have family history/bad heart genetics, but I have to imagine that the AAS use was a significant factor.

Praying for a speedy recovery bubba as someone that's also dealt with drug addiction former iv user this always terrifies me. Hope all is well!
Thank you for the wishes! Props on pulling yourself out of drugs mate, I also wound up IV'ing crystal meth as my main drug towards the end and it's a dark place to be in.

Were you perviously dealing with shortness of breath or anything?
No, I felt perfectly fine -- in fact probably the best I've ever felt in terms of overall health/energy, right up until the moment it happened. Crazy.

Sorry you had to go thru this @ChemBB and considering you got quite lucky as only one artery was impacted you should be able to make a great recovery.
Thanks mate -- is this the same Mindless from the FitMisc days with Johneffer, Chest Rockwell, and DLTBB?

I miss that board so much =(
Sounds like this was an acute problem, no?
Technically, based on the results of my angiogram: yes -- the rest of my heart has no plaque except for one minor artery with sub 20-30% occlusion

But I don't know if I want to trust that completely or treat it like I'm home-free now
 
How much do you spend per month on this diet?
It's quite cheap, the canned chicken, canned black beans, canned green beans are all a few bucks each.

The only expensive bit is the cottage cheese and greek yogurt.

I heard there was some TikTok fad that made cottage cheese popular, for a while it was sold out in a lot of places here, kinda infuriating lol.
 
One thing I would add here (and I am not certain on the clinical significance of this but from the reading I have done there is a clear correlation with increased heart disease risk) is the contribution of lipoprotein particle size. This can be tested with advanced lipid panels and can help assess hidden areas of increased risk even with normal / low levels of LDL. Personally, my particle size numbers are very bad. Lots of small, dense lipoproteins which are more likely to cause plaque formation. While I take as statin and keep my LDL very low, it's information like this that further lets me know that my true risk is elevated due to family history and past periods of reckless gear usage and not taking care of myself. Even though I'm not obese, not diabetic, no metabolic syndrome, no kidney disease, and no hypertension, the genetic loading for heart disease, shitty particle size numbers, genetically low HDL and personal history of dyslipidemia places me at a much higher risk than anything would suggest on paper.

What I'm saying is dig as deep as you can and always consider yourself higher risk than you are, ESPECIALLY if you are using anything more than true TRT (as in some guys going above 200 mg test weekly is enough to tank the HDL).
 
Might’ve been answered, but what were you running?
Have you cruised recently? Or at all?

I think this should be generally correct, I don't keep a log (probably should)

09/2024 to 04/2025
  • 350mg Test E

04/01 to 07/21 (~110 days), cut from 235 -> 175:
  • 150mg Trest Decanoate
  • 30mg Anavar ED
  • 10mg Cardarine ED
  • 2.5mg Sema + 10mg Tirz / week

Since 07/21:
  • 300 -> 600mg Test blend
  • 250mg Tren E
  • 250mg Mast E
  • 50mg Winstrol ED (4 weeks)
  • 10mg Cardarine ED
  • 3mg Reta E3D
  • 4-6iu GH ED (last few weeks only)

Currently dropped to:
  • 210mg Test blend
  • 175mg Tren E
  • 175mg Mast E
  • 10mg Cardarine
  • 4iu GH
  • 3mg Reta + 0.75mg Sema E3D
 
I think this should be generally correct, I don't keep a log (probably should)

09/2024 to 04/2025
  • 350mg Test E

04/01 to 07/21 (~110 days), cut from 235 -> 175:
  • 150mg Trest Decanoate
  • 30mg Anavar ED
  • 10mg Cardarine ED
  • 2.5mg Sema + 10mg Tirz / week

Since 07/21:
  • 300 -> 600mg Test blend
  • 250mg Tren E
  • 250mg Mast E
  • 50mg Winstrol ED (4 weeks)
  • 10mg Cardarine ED
  • 3mg Reta E3D
  • 4-6iu GH ED (last few weeks only)

Currently dropped to:
  • 210mg Test blend
  • 175mg Tren E
  • 175mg Mast E
  • 10mg Cardarine
  • 4iu GH
  • 3mg Reta + 0.75mg Sema E3D
So you had been on orals steadily from 4/1 until now? Plus Tren and Mast - and your lipid values were good. That's so interesting.
 
So you had been on orals steadily from 4/1 until now? Plus Tren and Mast - and your lipid values were good. That's so interesting.
Well the Winstrol wrecked my lipids

This was from 9/10, had been on it about 4 weeks at that point.

Dropped the Winstrol after getting these labs back, so the lipids you see in this thread are ~10 days post-drop

1758545738317.webp
 
Thanks mate -- is this the same Mindless from the FitMisc days with Johneffer, Chest Rockwell, and DLTBB?

I miss that board so much =(
Yes one and the same, and that board is no more.

Hopefully your recovery goes well bro!
 
And you had not been on a statin correct?
That's correct, full list of meds I was on:

AM:
  • 1 x Buspirone 15mg
  • 1 x Buproprion XR 150mg
  • 2 x Lamotrigine 25mg
  • 2 x Vitamin D 10,000iu
  • 1 x Ashwagandha, Rhodiola, Maca, l-Theanine blend
  • 3 x DXM 30MG
  • 1.5 x Moda 200mg
  • 2 x Fish Oil (2,400mg DHA, 1,800mg EPA)
PM:
  • 1 x Lemborexant (Dayvigo) 5mg
  • 2 x Buspirone 15mg
  • 1 x Men's Multi
  • 1 x Zinc Picolinate 50mg
  • 1 x Melatonin 1mg
  • 1.5 x Ropinirole 1mg
  • 2 x Vitamin D 10,000iu
  • 2 x Fish Oil (2,400mg DHA, 1,800mg EPA)
 
I think this should be generally correct, I don't keep a log (probably should)

09/2024 to 04/2025
  • 350mg Test E

04/01 to 07/21 (~110 days), cut from 235 -> 175:
  • 150mg Trest Decanoate
  • 30mg Anavar ED
  • 10mg Cardarine ED
  • 2.5mg Sema + 10mg Tirz / week

Since 07/21:
  • 300 -> 600mg Test blend
  • 250mg Tren E
  • 250mg Mast E
  • 50mg Winstrol ED (4 weeks)
  • 10mg Cardarine ED
  • 3mg Reta E3D
  • 4-6iu GH ED (last few weeks only)

Currently dropped to:
  • 210mg Test blend
  • 175mg Tren E
  • 175mg Mast E
  • 10mg Cardarine
  • 4iu GH
  • 3mg Reta + 0.75mg Sema E3D
You’re choosing to stay on tren despite the scare?
 
You’re choosing to stay on tren despite the scare?
Believe it or not, medical literature demonstrates Tren is less harmful in terms of cardiac health than Test, mg-for-mg.

See my post here:

Research Evidence:

17β-Hydroxyestra-4,9,11-trien-3-one (trenbolone) exhibits tissue selective anabolic activity: effects on muscle, bone, adiposity, hemoglobin, and prostate

"Our findings indicate that TREN has advantages over supraphysiological testosterone and supports the need for future preclinical studies examining the viability of TREN as an option for androgen replacement therapy."

Improvements in body composition, cardiometabolic risk factors and insulin sensitivity with trenbolone in normogonadic rats

  • Trenbolone decreased fat mass by 37% and increased lean mass by 11%
  • No evidence of adverse cardiac (e.g., no fibrosis or impaired ischemia tolerance) or hepatic effects

Trenbolone Improves Cardiometabolic Risk Factors and Myocardial Tolerance to Ischemia-Reperfusion in Male Rats With Testosterone-Deficient Metabolic Syndrome

  • Reduced subcutaneous and visceral fat accumulation, hypertriglyceridemia, hypercholesterolemia, hyperinsulinemia, and myocardial damage compared to untreated deficient rats
  • Improved myocardial tolerance to ischemia-reperfusion injury, suggesting cardioprotective effects
  • Metabolic benefits included better insulin sensitivity and lipid profiles
 
That's correct, full list of meds I was on:

AM:
  • 1 x Buspirone 15mg
  • 1 x Buproprion XR 150mg
  • 2 x Lamotrigine 25mg
  • 2 x Vitamin D 10,000iu
  • 1 x Ashwagandha, Rhodiola, Maca, l-Theanine blend
  • 3 x DXM 30MG
  • 1.5 x Moda 200mg
  • 2 x Fish Oil (2,400mg DHA, 1,800mg EPA)
PM:
  • 1 x Lemborexant (Dayvigo) 5mg
  • 2 x Buspirone 15mg
  • 1 x Men's Multi
  • 1 x Zinc Picolinate 50mg
  • 1 x Melatonin 1mg
  • 1.5 x Ropinirole 1mg
  • 2 x Vitamin D 10,000iu
  • 2 x Fish Oil (2,400mg DHA, 1,800mg EPA)
Any baby aspirin? Cardio routine? Shit is scary
 
Believe it or not, medical literature demonstrates Tren is less harmful in terms of cardiac health than Test, mg-for-mg.

See my post here:

Research Evidence:

17β-Hydroxyestra-4,9,11-trien-3-one (trenbolone) exhibits tissue selective anabolic activity: effects on muscle, bone, adiposity, hemoglobin, and prostate



Improvements in body composition, cardiometabolic risk factors and insulin sensitivity with trenbolone in normogonadic rats

  • Trenbolone decreased fat mass by 37% and increased lean mass by 11%
  • No evidence of adverse cardiac (e.g., no fibrosis or impaired ischemia tolerance) or hepatic effects

Trenbolone Improves Cardiometabolic Risk Factors and Myocardial Tolerance to Ischemia-Reperfusion in Male Rats With Testosterone-Deficient Metabolic Syndrome

  • Reduced subcutaneous and visceral fat accumulation, hypertriglyceridemia, hypercholesterolemia, hyperinsulinemia, and myocardial damage compared to untreated deficient rats
  • Improved myocardial tolerance to ischemia-reperfusion injury, suggesting cardioprotective effects
  • Metabolic benefits included better insulin sensitivity and lipid profiles
What I am reading here is that my 20mg, now 30mg of Tren, that I run since 01/25 is the best idea since sliced bread.
 
Back
Top