Abstract | OBJECTIVE: METHOD: This case-control study included male patients with acute myocardial infarction (AMI) (n=174) or unstable angina pectoris (UAP) (n=90) and healthy controls (n=238). Patients gave serum samples during the acute (n=264) and recovery (n=132) phases after a median of 10.5 months after the incident event. Secondary events (ACS or cardiovascular death) were registered during the following 6 years. RESULTS: During the acute phase, AMI and UAP patients had similar significantly reduced concentrations of serum testosterone in comparison to controls. Testosterone associated inversely with weight, the degree of inflammation (i.e. C-reactive protein concentration) and signs of a chronic infection. In a multiadjusted Cox regression, when compared to testosterone concentrations considered high-normal (14.91-34.0 nmol/l), low-normal testosterone (9.26-14.90 nmol/l) in the acute phase predicted better prognosis for cardiovascular death rate with a hazard ratio (HR) of 0.17 (0.04-0.68, P=0.012). The increased testosterone concentrations after the recovery period did not associate with future cardiovascular disease events. CONCLUSION: Low-normal testosterone levels in the acute phase of ACS predicted better survival. The observation may indicate better adaptation to stress in survivors and warrants further study.
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Authors | Erkki Pesonen, Pirkko Pussinen, Ilpo Huhtaniemi |
Journal | European journal of endocrinology
(Eur J Endocrinol)
Vol. 174
Issue 4
Pg. 481-9
(Apr 2016)
ISSN: 1479-683X [Electronic] England |
PMID | 26772984
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2016 European Society of Endocrinology. |
Chemical References |
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Topics |
- Acute Coronary Syndrome
(blood, metabolism, mortality)
- Adaptation, Physiological
(physiology)
- Aged
- Angina, Unstable
(blood, metabolism)
- Case-Control Studies
- Humans
- Male
- Middle Aged
- Myocardial Infarction
(blood, metabolism)
- Risk Factors
- Stress, Physiological
(physiology)
- Survival Rate
- Testosterone
(blood)
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