Fluctuations of testosterone in acute coronary syndrome

<p style="margin-bottom: 0in;"><span style="color: #000000;"><span style="font-family: Arial,sans-serif;"><span style="font-size: x-small;"><span style="color: #231f20;"><span style="font-size: x-small;">...

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Main Authors: CM Wickramatilake, MR Mohideen, C Pathirana
Format: Article
Language:English
Published: Sri Lanka College of Endocrinologists 2013-05-01
Series:Sri Lanka Journal of Diabetes Endocrinology and Metabolism
Subjects:
Online Access:https://sjdem.sljol.info/articles/5470
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author CM Wickramatilake
MR Mohideen
C Pathirana
author_facet CM Wickramatilake
MR Mohideen
C Pathirana
author_sort CM Wickramatilake
collection DOAJ
description <p style="margin-bottom: 0in;"><span style="color: #000000;"><span style="font-family: Arial,sans-serif;"><span style="font-size: x-small;"><span style="color: #231f20;"><span style="font-size: x-small;"><em><strong>Objective: </strong></em></span></span><span style="color: #231f20;"><span style="font-size: x-small;">Fluctuations of serum testosterone after acute coronary syndrome (ACS) are infrequently reported. This study was done to determine the optimal time point for blood sampling for testosterone levels after ACS and to observe the trend of serial estimates of testosterone up to 12 weeks (84 days) following the acute event.</span></span></span></span></span></p> <p style="margin-bottom: 0in;"><span style="color: #000000;"><span style="font-family: Arial,sans-serif;"><span style="font-size: x-small;"><span style="color: #231f20;"><span style="font-size: x-small;"><em><strong>Methods: </strong></em></span></span><span style="color: #231f20;"><span style="font-size: x-small;">Eight patients with ACS; five with ST-segment-elevated-myocardial infarction (STEMI) and three with unstable angina (UA) were included. Five blood samples were taken; on admission (day one), day three, day 24 and day 84 (12 weeks) later. Serum total testosterone (TT) was estimated by radioimmunoassay.</span></span></span></span></span></p> <p style="margin-bottom: 0in;"><span style="color: #000000;"><span style="font-family: Arial,sans-serif;"><span style="font-size: x-small;"><span style="color: #231f20;"><span style="font-size: x-small;"><em><strong>Results: </strong></em></span></span><span style="color: #231f20;"><span style="font-size: x-small;">Mean age was 53±5 years. Mean serum TT level on admission (day one) was 3.60±1.74 ng/mL and on day three, it was 3.98±2.04 ng/mL. The values rose to 5.09±2.24 ng/mL on day five and peaked to 6.17±2.98 ng/mL at 24 days after. Thereafter, the TT levels declined to a mean level of 4.14±2.06 ng/ mL by 12 weeks, similar to that observed in the first three days after the acute episode. No significant difference was observed between the mean TT levels on admission, day three and at day 84 (p = 0.407, p = 0.628).</span></span></span></span></span></p> <p style="margin-bottom: 0in;"><span style="color: #231f20;"><span style="font-family: Arial,sans-serif;"><span style="font-size: x-small;"><em><strong>Conclusion: </strong></em></span></span></span><span style="color: #231f20;"><span style="font-family: Arial,sans-serif;"><span style="font-size: x-small;">Serum testosterone fluctuates after ACS. The optimal time to obtain blood for total testosterone level that represents baseline appears to be within the first three days from the onset of the event.</span></span></span></p> <p><span style="color: #231f20;"><span style="font-family: Times New Roman,serif;"><span style="font-size: x-small;"><em>Sri Lanka Journal of Diabetes, Endocrinology and Metabolism 2013; </em></span></span></span><span style="color: #231f20;"><span style="font-family: Times New Roman,serif;"><span style="font-size: x-small;"><em><strong>3</strong></em></span></span></span><span style="color: #231f20;"><span style="font-family: Times New Roman,serif;"><span style="font-size: x-small;"><em>: 8-11</em></span></span></span></p><p>DOI: <a href="http://dx.doi.org/10.4038/sjdem.v3i1.5470">http://dx.doi.org/10.4038/sjdem.v3i1.5470</a></p><a href="http://dx.doi.org/"></a><p style="margin-bottom: 0in;"> </p>
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spelling doaj.art-589fb66210a44666b3c2f49b2bcd48d52022-12-21T18:48:33ZengSri Lanka College of EndocrinologistsSri Lanka Journal of Diabetes Endocrinology and Metabolism2012-998X2013-05-013181110.4038/sjdem.v3i1.54704374Fluctuations of testosterone in acute coronary syndromeCM Wickramatilake0MR Mohideen1C Pathirana2University of RuhunaUniversity of RuhunaUniversity of Ruhuna<p style="margin-bottom: 0in;"><span style="color: #000000;"><span style="font-family: Arial,sans-serif;"><span style="font-size: x-small;"><span style="color: #231f20;"><span style="font-size: x-small;"><em><strong>Objective: </strong></em></span></span><span style="color: #231f20;"><span style="font-size: x-small;">Fluctuations of serum testosterone after acute coronary syndrome (ACS) are infrequently reported. This study was done to determine the optimal time point for blood sampling for testosterone levels after ACS and to observe the trend of serial estimates of testosterone up to 12 weeks (84 days) following the acute event.</span></span></span></span></span></p> <p style="margin-bottom: 0in;"><span style="color: #000000;"><span style="font-family: Arial,sans-serif;"><span style="font-size: x-small;"><span style="color: #231f20;"><span style="font-size: x-small;"><em><strong>Methods: </strong></em></span></span><span style="color: #231f20;"><span style="font-size: x-small;">Eight patients with ACS; five with ST-segment-elevated-myocardial infarction (STEMI) and three with unstable angina (UA) were included. Five blood samples were taken; on admission (day one), day three, day 24 and day 84 (12 weeks) later. Serum total testosterone (TT) was estimated by radioimmunoassay.</span></span></span></span></span></p> <p style="margin-bottom: 0in;"><span style="color: #000000;"><span style="font-family: Arial,sans-serif;"><span style="font-size: x-small;"><span style="color: #231f20;"><span style="font-size: x-small;"><em><strong>Results: </strong></em></span></span><span style="color: #231f20;"><span style="font-size: x-small;">Mean age was 53±5 years. Mean serum TT level on admission (day one) was 3.60±1.74 ng/mL and on day three, it was 3.98±2.04 ng/mL. The values rose to 5.09±2.24 ng/mL on day five and peaked to 6.17±2.98 ng/mL at 24 days after. Thereafter, the TT levels declined to a mean level of 4.14±2.06 ng/ mL by 12 weeks, similar to that observed in the first three days after the acute episode. No significant difference was observed between the mean TT levels on admission, day three and at day 84 (p = 0.407, p = 0.628).</span></span></span></span></span></p> <p style="margin-bottom: 0in;"><span style="color: #231f20;"><span style="font-family: Arial,sans-serif;"><span style="font-size: x-small;"><em><strong>Conclusion: </strong></em></span></span></span><span style="color: #231f20;"><span style="font-family: Arial,sans-serif;"><span style="font-size: x-small;">Serum testosterone fluctuates after ACS. The optimal time to obtain blood for total testosterone level that represents baseline appears to be within the first three days from the onset of the event.</span></span></span></p> <p><span style="color: #231f20;"><span style="font-family: Times New Roman,serif;"><span style="font-size: x-small;"><em>Sri Lanka Journal of Diabetes, Endocrinology and Metabolism 2013; </em></span></span></span><span style="color: #231f20;"><span style="font-family: Times New Roman,serif;"><span style="font-size: x-small;"><em><strong>3</strong></em></span></span></span><span style="color: #231f20;"><span style="font-family: Times New Roman,serif;"><span style="font-size: x-small;"><em>: 8-11</em></span></span></span></p><p>DOI: <a href="http://dx.doi.org/10.4038/sjdem.v3i1.5470">http://dx.doi.org/10.4038/sjdem.v3i1.5470</a></p><a href="http://dx.doi.org/"></a><p style="margin-bottom: 0in;"> </p>https://sjdem.sljol.info/articles/5470testosteroneacute stress responseacute coronary syndrome
spellingShingle CM Wickramatilake
MR Mohideen
C Pathirana
Fluctuations of testosterone in acute coronary syndrome
Sri Lanka Journal of Diabetes Endocrinology and Metabolism
testosterone
acute stress response
acute coronary syndrome
title Fluctuations of testosterone in acute coronary syndrome
title_full Fluctuations of testosterone in acute coronary syndrome
title_fullStr Fluctuations of testosterone in acute coronary syndrome
title_full_unstemmed Fluctuations of testosterone in acute coronary syndrome
title_short Fluctuations of testosterone in acute coronary syndrome
title_sort fluctuations of testosterone in acute coronary syndrome
topic testosterone
acute stress response
acute coronary syndrome
url https://sjdem.sljol.info/articles/5470
work_keys_str_mv AT cmwickramatilake fluctuationsoftestosteroneinacutecoronarysyndrome
AT mrmohideen fluctuationsoftestosteroneinacutecoronarysyndrome
AT cpathirana fluctuationsoftestosteroneinacutecoronarysyndrome