Testosterone, cardiomyopathies, and heart failure: a narrative review
Autor: | Rodica Diaconu, Ionuţ Donoiu, Oana Mirea, Tudor Adrian Bălşeanu |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: | |
Zdroj: | Asian Journal of Andrology, Vol 23, Iss 4, Pp 348-356 (2021) |
Druh dokumentu: | article |
ISSN: | 1008-682X 1745-7262 |
DOI: | 10.4103/aja.aja_80_20 |
Popis: | Testosterone exerts an important regulation of cardiovascular function through genomic and nongenomic pathways. It produces several changes in cardiomyocytes, the main actor of cardiomyopathies, which are characterized by pathological remodeling, eventually leading to heart failure. Testosterone is involved in contractility, in the energy metabolism of myocardial cells, apoptosis, and the remodeling process. In myocarditis, testosterone directly promotes the type of inflammation that leads to fibrosis, and influences viremia with virus localization. At the same time, testosterone exerts cardioprotective effects that have been observed in different studies. There is increasing evidence that low endogenous levels of testosterone have a negative impact in some cardiomyopathies and a protective impact in others. This review focuses on the interrelationships between testosterone and cardiomyopathies and heart failure. |
Databáze: | Directory of Open Access Journals |
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