Testosterone, estradiol and their ratio in male patients with acute coronary syndrome

The role of androgens and estrogens in cardiovascular disease is a subject of ongoing studies. Therefore, we aim to explore the association of testosterone (T), estradiol and their ratio with cardiovascular risk factors and severity of cardiac ischemia in male patients with acute coronary syndrome....

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Main Authors: Savi Shishkov, Kiril Hristozov, Atanas Angelov, Svetoslava Slavcheva, Yana Bocheva, Mila Boyadzhieva
Format: Article
Language:English
Published: Pensoft Publishers 2024-03-01
Series:Pharmacia
Online Access:https://pharmacia.pensoft.net/article/113755/download/pdf/
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author Savi Shishkov
Kiril Hristozov
Atanas Angelov
Svetoslava Slavcheva
Yana Bocheva
Mila Boyadzhieva
author_facet Savi Shishkov
Kiril Hristozov
Atanas Angelov
Svetoslava Slavcheva
Yana Bocheva
Mila Boyadzhieva
author_sort Savi Shishkov
collection DOAJ
description The role of androgens and estrogens in cardiovascular disease is a subject of ongoing studies. Therefore, we aim to explore the association of testosterone (T), estradiol and their ratio with cardiovascular risk factors and severity of cardiac ischemia in male patients with acute coronary syndrome. (ACS) n = 72 and controls (n = 35) Lower values of both total and free T were found in the ACS group compared to controls (8.97 vs. 10.98 nmol/l, p = 0.001 for total T and 0.189 vs. 0.223 nmol/l, p = 0.006 for free T). Patients with myocardial infarction with ST-elevation had significantly lower T fractions compared to ACS without ST-elevation. The T to estradiol ratio was significantly lower in the ACS group compared to controls and is lowest in those with STEMI. Also, all testosterone fractions – free, bioavailable, and free T, are lower in patients with ACS compared to controls. Based on these observations a conclusion can be drawn that amore estrogenic environment is associated with ST-elevation and correlates with the severity of ACS in male patients.
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spelling doaj.art-320cd49a6335425480e90ac5ef9a58da2024-03-27T07:31:14ZengPensoft PublishersPharmacia2603-557X2024-03-01711510.3897/pharmacia.71.e113755113755Testosterone, estradiol and their ratio in male patients with acute coronary syndromeSavi Shishkov0Kiril Hristozov1Atanas Angelov2Svetoslava Slavcheva3Yana Bocheva4Mila Boyadzhieva5Medical University of VarnaMedical University of VarnaMedical University of VarnaMedical University of VarnaMedical University of VarnaMedical University of VarnaThe role of androgens and estrogens in cardiovascular disease is a subject of ongoing studies. Therefore, we aim to explore the association of testosterone (T), estradiol and their ratio with cardiovascular risk factors and severity of cardiac ischemia in male patients with acute coronary syndrome. (ACS) n = 72 and controls (n = 35) Lower values of both total and free T were found in the ACS group compared to controls (8.97 vs. 10.98 nmol/l, p = 0.001 for total T and 0.189 vs. 0.223 nmol/l, p = 0.006 for free T). Patients with myocardial infarction with ST-elevation had significantly lower T fractions compared to ACS without ST-elevation. The T to estradiol ratio was significantly lower in the ACS group compared to controls and is lowest in those with STEMI. Also, all testosterone fractions – free, bioavailable, and free T, are lower in patients with ACS compared to controls. Based on these observations a conclusion can be drawn that amore estrogenic environment is associated with ST-elevation and correlates with the severity of ACS in male patients.https://pharmacia.pensoft.net/article/113755/download/pdf/
spellingShingle Savi Shishkov
Kiril Hristozov
Atanas Angelov
Svetoslava Slavcheva
Yana Bocheva
Mila Boyadzhieva
Testosterone, estradiol and their ratio in male patients with acute coronary syndrome
Pharmacia
title Testosterone, estradiol and their ratio in male patients with acute coronary syndrome
title_full Testosterone, estradiol and their ratio in male patients with acute coronary syndrome
title_fullStr Testosterone, estradiol and their ratio in male patients with acute coronary syndrome
title_full_unstemmed Testosterone, estradiol and their ratio in male patients with acute coronary syndrome
title_short Testosterone, estradiol and their ratio in male patients with acute coronary syndrome
title_sort testosterone estradiol and their ratio in male patients with acute coronary syndrome
url https://pharmacia.pensoft.net/article/113755/download/pdf/
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AT svetoslavaslavcheva testosteroneestradiolandtheirratioinmalepatientswithacutecoronarysyndrome
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