Steroids can permanently damage the heart in several ways. Prolonged use of high doses of steroids can cause the heart's chambers to enlarge, which can impair the heart's ability to effectively pump blood. This can lead to heart failure over time. Steroids can also disrupt the normal functioning of the heart muscle, causing irregular heartbeats and other rhythm disorders. Additionally, steroid use has been linked to the development of atherosclerosis, or hardening of the arteries, which increases the risk of heart attacks and other cardiovascular problems. The effects of steroid-induced heart damage can persist even after the steroid use is stopped, highlighting the potentially long-lasting and irreversible nature of this issue. It is crucial to be aware of these risks and to closely monitor heart health when using steroids, even at lower doses, in order to prevent permanent and potentially life-threatening cardiac complications.