A 23 year old male body builder presented with a recent onset of central chest pain. He was a smoker with cholesterol concentration of 7.l mmol/l on admission. He had been taking anabolic steroids (methandrostenelone 20 mg daily) for three months. Anteroseptal T wave inversion on a 12 lead ECG along with elevated troponin T prompted early coronary angiography. This revealed …