{"id":"1c9fed8c7517","type":"article","url":"https://hartvaat.nl/2026/02/01/preventie-van-atherosclerotische-hart-en-vaatziekten-bij-jonge-mannelijke-anabol/","title":"Preventie van atherosclerotische hart- en vaatziekten bij jonge mannelijke anabolengebruikers","title_en":"Preventing Atherosclerotic Cardiovascular Disease in Young Male Androgen Abusers.","category":"preventie","category_label":"Preventie","professions":["cardioloog","huisarts","internist"],"tags":["acuut-hartfalen","aspirine","atherosclerose","atleten","bloeddrukbehandeling","cetp-remmers","clear-outcomes","diabetes-en-hart","dyslipidemie","ezetimibe","hartkatheterisatie","hartrevalidatie","ldl-cholesterol","lipidenverlaging","menopauze","myocardinfarct","perifeer-vaatlijden","primaire-preventie","secundaire-preventie","statines","trombocytenaggregatieremmers","vrouwen"],"journal":"Clinical cardiology","doi":"10.1002/clc.70257","source_url":"https://doi.org/10.1002/clc.70257","authors":["Peter Bond","Diederik L Smit","Tijs Verdegaal","Willem de Ronde"],"significance":5,"published":"2026-02-01","source_date":"2026-02-01","image":"","kennis":["https://hartvaat.nl/kennis/cardiometabool/diabetes-type-1-en-hart/","https://hartvaat.nl/kennis/cardiometabool/diabetes-en-cardiovasculair-risico/"],"congress":"","summary_en":"This review examines the mechanisms by which supraphysiological androgen exposure accelerates atherosclerosis in young men, including adverse effects on lipoproteins, blood pressure, and vascular function. Screening strategies and preventive measures are discussed for this underrecognised risk population.","created":"2026-07-03T10:25:04Z","updated":"2026-07-03T13:24:31Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Het gebruik van anabole steroïden bij jonge mannen leidt tot versnelde atherosclerose en een sterk verhoogd cardiovasculair risico. Dit artikel bespreekt screeningsstrategieën en preventieve maatregelen voor deze groeiende risicogroep.","abstract_original":"BACKGROUND: Androgen abuse among young men is a prevalent yet under recognized risk factor for atherosclerotic cardiovascular disease (ASCVD). Supraphysiological androgen exposure adversely affects lipoprotein profiles, blood pressure, and vascular function, potentially accelerating atherosclerosis even in otherwise healthy individuals. Conventional cardiovascular risk prediction models may underestimate risk in this population due to fluctuating biomarker profiles and other unaccounted risk-increasing factors that are not captured in these models. OBJECTIVES: To review the mechanisms by which androgen abuse contributes to ASCVD, to highlight limitations of traditional risk stratification tools in this population, and to propose tailored approaches to risk assessment and prevention. METHODS: Narrative review of epidemiological, imaging, and mechanistic studies examining cardiovascular risk factors and subclinical atherosclerosis in androgen abusers. RESULTS: Available evidence indicates that androgen abuse adversely affects lipid profiles, blood pressure, and vascular endothelial function, and is associated with increased subclinical atherosclerosis. Conventional risk prediction models may underestimate risk in this population due to young age, fluctuating biomarker profiles, and cumulative exposure effects not captured by standard algorithms. CONCLUSIONS: Androgen abuse should be recognized as a cardiovascular risk-enhancing factor in young men. Individualized risk assessment beyond traditional calculators may be warranted to guide preventive strategies in selected patients."}