Why men's hearts break: Cardiovascular effects of sex steroids

被引:42
作者
Choi, Brian G. [1 ]
McLaughlin, Mary Ann [1 ]
机构
[1] Mt Sinai Sch Med, Zena & Michael A Wiener Cardiovasc Inst, New York, NY 10029 USA
关键词
D O I
10.1016/j.ecl.2007.03.011
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coronary artery disease (CAD) mortality differs in men and women, leading to the speculation that differences in sex steroids contribute to risk. Controlled clinical trials have shown that estrogen replacement is not cardioprotective in certain women, and recent cross-sectional studies associate low testosterone with a greater incidence of CAD in men. Testosterone has demonstrated effects on insulin resistance, obesity, myocardium, coagulation, inflammation, vasodilation, and endothelial function. Imbalance of sex steroids contributes to adverse cardiac effects in men.
引用
收藏
页码:365 / +
页数:14
相关论文
共 99 条
[1]  
Alexandersen P, 1999, CIRC RES, V84, P813
[2]  
ANDERSON RA, 1995, THROMB HAEMOSTASIS, V74, P693
[3]   TESTOSTERONE CONCENTRATIONS IN WOMEN AND MEN WITH NIDDM [J].
ANDERSSON, B ;
VERMEULEN, A ;
MARIN, P ;
BJORNTORP, P ;
LISSNER, L .
DIABETES CARE, 1994, 17 (05) :405-411
[4]   DEHYDROEPIANDROSTERONE FEEDING PREVENTS AORTIC FATTY STREAK FORMATION AND CHOLESTEROL ACCUMULATION IN CHOLESTEROL-FED RABBIT [J].
ARAD, Y ;
BADIMON, JJ ;
BADIMON, L ;
HEMBREE, WC ;
GINSBERG, HN .
ARTERIOSCLEROSIS, 1989, 9 (02) :159-166
[5]   Endogenous sex hormones and cardiovascular disease incidence in men [J].
Arnlov, Johan ;
Pencina, Michael J. ;
Amin, Shreyasee ;
Nam, Byung-Ho ;
Benjamin, Emelia J. ;
Murabito, Joanne M. ;
Wang, Thomas J. ;
Knapp, Philip E. ;
D'Agostino, Ralph B., Sr. ;
Bhasin, Shalendar ;
Vasan, Ramachandran S. .
ANNALS OF INTERNAL MEDICINE, 2006, 145 (03) :176-184
[6]   PHYSIOLOGICAL LEVELS OF ESTRADIOL STIMULATE PLASMA HIGH-DENSITY LIPOPROTEIN(2) CHOLESTEROL LEVELS IN NORMAL MEN [J].
BAGATELL, CJ ;
KNOPP, RH ;
RIVIER, JE ;
BREMNER, WJ .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1994, 78 (04) :855-861
[7]   PHYSIOLOGICAL TESTOSTERONE LEVELS IN NORMAL MEN SUPPRESS HIGH-DENSITY-LIPOPROTEIN CHOLESTEROL LEVELS [J].
BAGATELL, CJ ;
KNOPP, RH ;
VALE, WW ;
RIVIER, JE ;
BREMNER, WJ .
ANNALS OF INTERNAL MEDICINE, 1992, 116 (12) :967-973
[8]   The epidemiology of DHEAS and cardiovascular disease [J].
BarrettConnor, E ;
GoodmanGruen, D .
DEHYDROEPIANDROSTERONE (DHEA) AND AGING, 1995, 774 :259-270
[9]   ENDOGENOUS SEX-HORMONES AND CARDIOVASCULAR-DISEASE IN MEN - A PROSPECTIVE POPULATION-BASED STUDY [J].
BARRETTCONNOR, E ;
KHAW, KT .
CIRCULATION, 1988, 78 (03) :539-545
[10]   Hyperglycemia and insulin resistance in men with prostate carcinoma who receive androgen-deprivation therapy [J].
Basaria, S ;
Muller, DC ;
Carducci, MA ;
Egan, J ;
Dobs, AS .
CANCER, 2006, 106 (03) :581-588