All big guys on steroids will die prematurely of heart disease.
Sure seems to be the pattern- left ventricular hypertrophy.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9580689/"The main findings of this study were that an AAS cycle with supraphysiological doses of androgens induced an increase in left ventricular mass, a reduction of left ventricular ejection fraction by ~5%, and a higher left ventricular stiffness reflected by the reduction of E/A-ratio, although changes in filling pressures cannot be excluded. There was a positive relationship between average weekly dose of AAS and left ventricular mass. When AAS were discontinued, after a median recovery time of 8 months, all parameters returned to their baseline values."
