Acute anti-ischemic effect of testosterone in men with coronary artery disease

Giuseppe M C Rosano, Filippo Leonardo, Paolo Pagnotta, Francesco Pelliccia, Gaia Panina, Elena Cerquetani, Paola Lilla Della Monica, Bruno Bonfigli, Massimo Volpe, Sergio L. Chierchia

Research output: Contribution to journalArticle

Abstract

Background-The role of testosterone on the development of coronary artery disease in men is controversial. The evidence that men have a greater incidence of coronary artery disease than women of a similar age suggests a possible causal role of testosterone. Conversely, recent studies have shown that the hormone improves endothelium-dependent relaxation of coronary arteries in men. Accordingly, the aim of the present study was to evaluate the effect of acute administration of testosterone on exercise-induced myocardial ischemia in men. Methods and Results-After withdrawal of antianginal therapy, 14 men (mean age, 58±4 years) with coronary artery disease underwent 3 exercise tests according to the modified Bruce protocol on 3 different days (baseline and either testosterone or placebo given in a random order). The exercise tests were performed 30 minutes after administration of testosterone (2.5 mg IV in 5 minutes) or placebo. All patients showed at least 1-mm ST-segment depression during the baseline exercise test and after placebo, whereas only 10 patients had a positive exercise test after testosterone. Chest pain during exercise was reported by 12 patients during baseline and placebo exercise tests and by 8 patients after testosterone. Compared with placebo, testosterone increased time to 1- mm ST-segment depression (579±204 versus 471±210 seconds; P

Original languageEnglish
Pages (from-to)1666-1670
Number of pages5
JournalCirculation
Volume99
Issue number13
Publication statusPublished - Apr 6 1999

Keywords

  • Coronary disease
  • Exercise
  • Heart diseases
  • Hormones
  • Ischemia

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Rosano, G. M. C., Leonardo, F., Pagnotta, P., Pelliccia, F., Panina, G., Cerquetani, E., Della Monica, P. L., Bonfigli, B., Volpe, M., & Chierchia, S. L. (1999). Acute anti-ischemic effect of testosterone in men with coronary artery disease. Circulation, 99(13), 1666-1670.