I think there is plenty to show they cause left ventricular hypertrophy, negatively impact HDL, increase LDL and depending on the drug, can put your estrogen out of whack. So thats are 4 big heart concerns right there....and hypertension would be the 5th.
Agreed. And I think this answers the spirit of the OPs question. But heart disease (of any type) is
secondary to everything you just mentioned.
For example, my father is 85 now. His cholesterol and triglycerides have been absolutely Polak horrendous for at least 40 years (probably all his life). So there is definitely a hereditary/genetic component here as well. My mother is 82. Hers is bad, too.
LVH isn't caused directly by steroids because LVH is found in non-bodybuilders as well. Same with hypertension and estrogen problems. Hypertension is the most common but it's not caused by the action of the heart either.
Need
@Type-IIx to maybe describe what steroids attach to heart muscle receptors because I'm not certain. That would be the key.
So what most of us do, is work to prevent high LDL, hypertension, etc which can lead to heart disease. Even doing so, is absolutely no guarantee.
But at this point, I'm not aware of any steroidal compound that directly affects the heart. Definitely cause health conditions that put the heart at risk, though.