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March 1, 2018The American Journal of CardiologyOpen Access

Total testosterone was an independent predictor of all-cause mortality in men with heart failure (HR 0.929, p=0.042), with lower levels associated with higher mortality and myocardial damage.

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Why the study?

Is lower serum testosterone associated with higher mortality and myocardial damage in men with heart failure?

Population

618 men with heart failure, mean age 65.9 years

Comparison

Serum total testosterone levels vs Comparison across testosterone quartiles

Design

Cohort

Follow-up

mean 1,281 days

Key result

Total testosterone was an independent predictor of all-cause mortality in men with heart failure (HR 0.929, p=0.042), with lower levels associated with higher mortality and myocardial damage.

Authors

AYAkiomi YoshihisaSSSatoshi SuzukiYSYu Sato

Discussion

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Overview

Low testosterone may aid risk stratification in men with HF; hypothesis-generating and leaves open need for trials.

Study Design

Type

Cohort (n=618)

Structured PICO

Is lower serum testosterone associated with higher mortality and myocardial damage in men with heart failure?

P
Population
618 men with heart failure, mean age 65.9 years, followed for a mean of 1,281 days.
E
Exposure
Serum total testosterone levels (analyzed as continuous variable and in quartiles)
C
Comparator
Comparison across testosterone quartiles (Q1: >631 ng/dl, Q2: 462-631 ng/dl, Q3: 300-462 ng/dl, Q4: ≤300 ng/dl)
O
Outcome
All-cause mortalityhard clinical

Main Result

Hazard Ratio: 0.929

p-value: p=0.042

Decreased serum testosterone is an independent predictor of higher all-cause mortality, myocardial damage, and lower exercise capacity in men with heart failure.

Cite This Study

Yoshihisa et al. (2018) conducted a cohort in Heart failure (n=618). Total testosterone vs. Higher quartiles of total testosterone was evaluated on All-cause mortality (HR 0.929, p=0.042). Total testosterone was an independent predictor of all-cause mortality in men with heart failure (HR 0.929, p=0.042), with lower levels associated with higher mortality and myocardial damage.

synapsesocial.com/papers/6a705eedce524a4339c41b4fhttps://doi.org/10.1016/j.amjcard.2018.01.052
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