Clenbuterol-induced myocardial infarction in a young bodybuilder.

A professional bodybuilder in his 20s presented to the cardiology emergency with acute, retrosternal chest pain and diaphoresis lasting 3 hours. He reported using clenbuterol, a sympathomimetic drug known for its anabolic and lipolytic effects, at escalating doses up to 180 µg daily. ECG revealed normal sinus rhythm with ST-segment elevation in the anterior leads with raised serum troponin levels.