Low testosterone and sexual symptoms in men with acute coronary syndrome can be used to predict major adverse cardiovascular events during long-term follow-up

Low total testosterone (TT) and sexual symptoms are common among men with coronary artery disease, however its impact on major adverse cardiovascular events (MACE) is still debatable. We investigated whether low TT and coexisting sexual symptoms in men with acute coronary syndrome (ACS) can be used to predict the incidence of MACE.

In the prospective study 120 consecutive men (mean age 58 ± 9 years; diabetes 27%; current smokers 58%; left ventricular ejection fraction 50 ± 10%) with ACS were included. The group of men with the presence of three sexual symptoms (decreased frequency of morning erections, a lack of sexual thoughts and erectile dysfunction) and with TT serum concentration

Andrology. 2015 Oct 13 [Epub ahead of print]

A Chmiel, K Mizia-Stec, J Wierzbicka-Chmiel, S Rychlik, A Muras, M Mizia, J Bienkowski

First Department of Cardiology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland. , First Department of Cardiology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland. , Department of Cardiology and Endocrinology, Hospital Rybnik, Rybnik, Poland. , Department of Cardiology and Endocrinology, Hospital Rybnik, Rybnik, Poland. , Department of Cardiology and Endocrinology, Hospital Rybnik, Rybnik, Poland. , First Department of Cardiology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland. , Department of Cardiology and Endocrinology, Hospital Rybnik, Rybnik, Poland.

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