The problem is when this coincides with fibrosis in cardiovascular tissues. In this instance fibrosis is the deposition of less flexible collagen not just in the heart but in arteries and veins across the body. This seems to occur directly and indirectly as a result of AAS use, and some AAS are worse than others - eg Deca is notoriously bad. This extra collagen makes the cardiovascular tissues a bit 'stiffer' and increases the pressure (force) required by the heart to pump blood through the body (increases the 'load').
As a result, a rather less healthy (and structurally maladaptive) deposition of new muscle (LVH) will occur in an attempt to overcome the strain of the increasing load, and once past a certain size, it begins to reduce the efficiency of the heart as a pump. But the fibrosis also affects things like the passage of nerve impulses across the heart (often resulting in atrial fibrillation or heart block, for example), and interferes with the essential growth of new blood vessels (angiogenesis) to the new cardiac muscle, potentially starving these tissues of oxygen, resulting in pain (angina), necrosis and scarring. And the scarring makes the heart even more inflexible, and is thus basically a very unwelcome positive feedback loop.
Het effect van aas op het hart is wat anders.
, is daar verder niks tegen te doen? Buiten geen androgene kuren nemen dan
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