INFLUENCE OF AGE-RELATED ANDROGEN DEFICIENCY ON THE RISK FACTORS ЕOF CARDIOVASCULAR DISEASES IN MEN WITH HYPOTHYROIDISM.

The long-term androgen deficiency (AD) in men with hypothyroidism is an important problem due to the fact that it leads to concomitant cardiac pathology, which remains the leading cause of mortality in the world. The presence of different points of view on the problem of AD and its effect on the risk factors for cardiovascular disease in patients with hypothyroidismattracts attention. The aim of the study is to assess the clinical signs of age-related androgen deficiency and their association with cardiovascular risk factors in men with hypothyroidism. 84 patients were examined, 38 of them - with hypothyroidism and age-related androgen deficiency, 46 patients with hypothyroidism and normal testosterone levels. The control group was formed of 20 men without hypothyroidism. The lipid and carbohydrate metabolism status, the presence and type of obesity, the level of depression, daily blood pressure monitoring were determined. AD was verified by decrease the total testosterone concentration in serum (<12 nmol/L). The level of total testosterone and sex hormone binding globulin in serum were determined by radioimmunoassay analysis. The decrease of testosterone level in men with hypothyroidism is accompanied by an increase in the frequency of abdominal obesity, triglycerides and glucoseescape, and is associated with subclinical depression. In men with hypothyroidism and AD, the average blood pressure in the daytime significantly exceeds the similar rates in patients with hypothyroidism and normal levels of testosterone. The presence of androgen deficiency negatively affects the risk factors of cardiovascular disease in men with hypothyroidism.

Georgian medical news. 2020 Jan [Epub]

T Krytskyy, N Pasyechko, N Yarema, L Naumova, L Mazur

I. Horbachevsky Ternopil National Medical University, Ukraine.

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