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Rhoden EL, Morgentaler A. Risks of testosterone-replacement remedy and proposals for monitoring. Testosterone substitute in hypogonadal males with angina improves ischaemic threshold and high quality of life. Ajayi AAL, Mathur R, Halushka PV. Testosterone enhance human platelet thromboxane A2 receptor density and aggregation responses.
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- Direct myocardial cell harm could happen by disruption of mitochondria and induction of intrafibrillar collagen dysplasia (Melchert and Welder 1995; Sullivan et al 1998).
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- We report a case of an acute ST-segment elevation myocardial infarction in a affected person with traditional cardiac danger elements utilizing supraphysiologic doses of supplemental, intramuscular testosterone.
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We report a case of an acute ST-segment elevation myocardial infarction in a affected person with conventional cardiac danger elements utilizing supraphysiologic doses of supplemental, intramuscular testosterone. In addition, this affected person also had polycythemia, probably secondary to high-dose testosterone. The patient underwent profitable percutaneous intervention of the right coronary artery. Physicians and patients ought to pay attention to the medical consequences of anabolic steroid abuse. Development of an atheromatous plaque perpetuates endothelial dysfunction and promotes platelet aggregation and intracoronary thrombus formation (Ajayi et al 1995; Nieminen et al 1996).
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Moreover, a component of endothelial dysfunction has been proposed, which may contribute to abnormal vessel reactivity. However, testosterone in physiologic doses might even be useful in patients with angina , have greater ischemic thresholds and improved high quality of life . Short-term intracoronary administration of testosterone induces coronary artery dilation and will increase coronary blood move in men with established coronary artery illness . Therefore, an interplay of endogenous elements of the patient’s threat profile in addition to the testosterone dosing could additionally be issues of whether adverse occasions happen.
Erythrocytosis has been reported as a potential effect of testosterone, which could be helpful in patients with anemia. The best danger of erythrocytosis occurs with injectable types of testosterone in contrast with transdermal preparations, especially in supraphysiologic doses. An enhance of up to 44% of the baseline hematocrit has been reported .
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