Андрология и генитальная хирургия. 2013; 14: 58-64
Показатели центральной гемодинамики и андрогенного статуса у мужчин с ишемической болезнью сердца и андрогенным дефицитом при его коррекции введением пролонгированного тестостерона
Гайворонская Лидия Михайловна, Гончаров Н. П., Кация Г. В., Золоедов В. И., Усков В. М.
https://doi.org/10.17650/2070-9781-2013-4-58-64Аннотация
Целью работы является изучение динамики показателей центральной гемодинамики у мужчин с ишемической болезнью сердца, стабильной стенокардией напряжения, ожирением и андрогенным дефицитом на фоне заместительной терапии тестостерона ундеканоатом (ТУ). Проведена сравнительная оценка показателей центральной гемодинамики (ударный объем (УО), фракция выброса, конечно-систолический объем (КСО) и размер и конечно-диастолический объем (КДО) и размер) и андрогенного статуса у 2 групп мужчин: получавших (основная группа) и не получавших (контрольная группа) заместительную терапию ТУ. По итогам работы в основной группе, в отличие от контрольной группы, выявлена положительная тенденция в динамике ряда вышеперечисленных показателей (УО, КСО, КДО). Положительная динамика отдельных параметров центральной гемодинамики даже при кратковременной заместительной терапии ТУ указывает на терапевтический потенциал тестостерона при сердечно-сосудистой патологии, для полной реализации которого требуется, по-видимому, более продолжительная терапия.
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Andrology and Genital Surgery. 2013; 14: 58-64
Central hemodynamics and androgen status in men with coronary heart disease, and androgen deficiency in its correction of prolonged administration of testosterone
Gaivoronskaya L. M., Goncharov N. P., Katsya G. V., Zoloedov V. I., Uskov V. M.
https://doi.org/10.17650/2070-9781-2013-4-58-64Abstract
This work was designed to study the dynamic of the central hemodynamic disorders symptoms at men with coronary heart disease, stable angina, obesity and androgen deficiency under replacement short-term therapy by Testosterone undecanoate (TU). The comparative assessment of central hemodynamic indicators and total and sub-scale AMS score at two groups of men who receiving (the main group) and not receiving (control group) replacement therapy of TU is carried out. Results showed that in the main group, unlike control group the positive tendency in a number of indicators (stroke volume, left ventricular end- diastolic volume, left ventricular end- systolic volume) of the central hemodynamic and indicators of the androgenic status is observed. Positive dynamics of some parameters of the central hemodynamic even at short-term replacement therapy of TU indicates the therapeutic potential of testosterone at cardiovascular pathology which full realization may require longer period of testosterone administration.
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40. Allan C. A., McLachlan R. I. Age-related changes in testosterone and the role of replacement therapy in older men. Clin Endocrinol 2004;60:653–70.
41. Haffner J. E., Moss S. E., Klein B. E. K., Klein R. Sex hormones and DHEASO4 in relation to ischemic heart disease in diabetic subjects. The WESDR Study. Diabetes Care 1996;19:1045–50.
42. Liverman C. T., Blazer D. G. (eds.). Testosterone and aging: clinical research directions. Washington, DC: Institute of Medicine. The National Academies Press, 2004.
43. Phillips G., Pinkernell B. H., Jing T. Y. The association between hypotestosteronemia and coronary heart disease in men. Arterioscler Thromb 1994;14:701–6.
44. Cauley J. A., Gutai J. P., Kuller L. H., Dai W. S. Usefulness of sex steroid hormone levels in predicting coronary artery disease in men. Am J Cardiol 1987;60:771–7.
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