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Published on: August 13, 2019
Testosterone, hemostasis, and cardiovascular diseases in men
Ellen Brodin1, Torkel Vikan, John-Bjarne Hansen
1Hematological Research Group (HERG), Department of Clinical Medicine, University of Tromsø, Tromsø, Norway. ellen.brodin@uit.no
Testosterone may influence blood clotting and cardiovascular disease (CVD) risk in men. This review examines testosterone
Area of Science:
- Endocrinology and Cardiovascular Science
Background:
- Men exhibit higher cardiovascular disease (CVD) incidence than women, with thrombotic events escalating with age.
- Emerging research suggests testosterone impacts the hemostatic and fibrinolytic systems in men.
- Testosterone therapy is increasingly sought by aging men, yet its efficacy in testosterone-deficient elderly men remains debated.
Purpose of the Study:
- To review the relationship between the coagulation system, cardiovascular disease, and testosterone in men.
- To evaluate the hypothesis that physiological testosterone levels benefit tissue factor-induced thrombin generation and reduce CVD risk.
Main Methods:
- Literature review of experimental, cross-sectional, and case-control studies.
- Analysis of the effects of testosterone on the hemostatic/fibrinolytic system.
- Focus on testosterone's role in the coagulation system and CVD development.
Main Results:
- Testosterone's multifaceted influence on the hemostatic/fibrinolytic system is supported by recent studies.
- A hypothesis suggests beneficial effects of physiological testosterone doses on thrombin generation and CVD.
- The clinical utility of testosterone supplementation in elderly men with testosterone deficiency is still under investigation.
Conclusions:
- Testosterone plays a complex role in male hemostasis and cardiovascular health.
- Further research is needed to clarify the benefits and risks of testosterone supplementation for CVD prevention in aging men.
- Understanding testosterone's impact on the coagulation system is crucial for managing CVD in men.
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