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Published on: August 28, 2013
[Pathogenetic basis of androgen administration in cardiology]
Sławomir Dobrzycki1, Krystyna Zukowska-Serwatka, Jerzy Robert Ładny
1Zakład Kardiologii Inwazyjnej Akademii Medycznej w Białymstoku.
Insights
Androgens, like testosterone, were once thought to increase coronary artery disease risk in men. However, recent studies suggest androgens may protect against heart failure by reducing inflammation.
Area of Science:
- Cardiology
- Endocrinology
- Molecular Biology
Context:
- Coronary artery disease (CAD) is a leading cause of mortality in developed countries, particularly in men over 45.
- Traditional risk factors include smoking, diabetes, hypertension, and hyperlipidemia.
- Androgens, specifically testosterone, have been historically viewed as CAD risk factors in men.
Purpose:
- To re-evaluate the role of androgens in cardiovascular health.
- To investigate the relationship between androgen levels and inflammatory markers.
- To explore potential therapeutic applications of androgens in heart conditions.
Summary:
- Emerging evidence challenges the traditional view of androgens as solely detrimental to cardiovascular health.
- Studies indicate a negative correlation between androgen levels and pro-inflammatory cytokines.
- This suggests a potential cardioprotective effect of androgens, particularly in conditions like congestive heart failure.
Impact:
- Findings may lead to a paradigm shift in understanding androgen's role in cardiovascular disease.
- Androgen therapy could be considered as a novel treatment strategy for men with heart failure.
- Further research is warranted to elucidate the mechanisms and clinical efficacy of androgen therapy in cardiovascular medicine.
Abstract:
In the developed countries, coronary artery disease remains the main cause of mortality among population aged over 45 years. It has been proven that some factors such as cigarette smoking, diabetes mellitus, hypertension, hyperlipaemia promote atherosclerosis. Androgens and especially testosterone are considered risk factors of coronary artery disease in men [1]. Several findings seem to support this belief. The male gender itself is an independent coronary artery disease risk factor [20]. Very few papers are available reporting deaths of young body-builders who overdose synthetic androgens, most probably caused by coronary disease [33]. There are also studies describing the vasoconstrictive properties of androgens. Stereotyped opinions on the role of androgens in cardiology have to be changed according to more recent data. Numerous studies have demonstrated that androgen levels correlate negatively with plasma cytokine levels. These findings suggest that routine androgen therapy could become a fact in men with congestive heart failure.
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