Look atbthe majority of bbers (and strength guys) who die young. It's usually a perfect storm.
1 blood pressure (kidney damage. Filter water through a sponge? No problem.. Turn those kidneys into coral, kinda a problem)
2 high bodyweight, sleep apnea, etc...
3 enlarged heart (bodyweight, physical activity, anabolics, growth hormone... Add in stimulants and painkillers)
4 cardiovascular damage from stimulants and painkillers (i suppose aas as well... Such as deca)
Hardly ever "just steroids". (never knew nasser to use stims or painkillers... Just a big dude who never went off and ran 5g test/wk even after he retired)