Myocardial Infarction and Stroke Risk in Young Healthy Men Treated with Injectable Testosterone

This study was conducted to examine the association between testosterone therapy and new myocardial infarction (MI) and stroke events in a series of patients treated at Low T Centers across the United States, consisting of mainly young (mean age = 46), otherwise, healthy men. Electronic medical reco...

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Main Authors: Robert S. Tan, Kelly R. Cook, William G. Reilly
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2015/970750
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author Robert S. Tan
Kelly R. Cook
William G. Reilly
author_facet Robert S. Tan
Kelly R. Cook
William G. Reilly
author_sort Robert S. Tan
collection DOAJ
description This study was conducted to examine the association between testosterone therapy and new myocardial infarction (MI) and stroke events in a series of patients treated at Low T Centers across the United States, consisting of mainly young (mean age = 46), otherwise, healthy men. Electronic medical records were queried between the years 2009 and 2014 to identify patients diagnosed with hypogonadism, MI, and stroke, as indicated by ICD-9 codes. The incidence of MI and stroke events was compared to community-based registries. 39,936 patients recruited from 40 Low T Centers across the United States were treated and 19,968 met eligibility criteria for receiving testosterone treatment. The incidence rate ratio (IRR) for MI in testosterone- (T-) treated versus nontreated patients was 0.14 (C.I. = 0.08 to 0.18, P<0.0001) whereas the IRR for stroke for T-treated versus nontreated patients was 0.11 (C.I. = 0.02 to 0.13, P<0.0001). There was no evidence of worsening preexisting MI or stroke in patients treated with testosterone. The experience in Low T Centers shows that, in an injectable testosterone patient registry, testosterone is generally safe for younger men who do not have significant risk factors. Of patients that developed MI with testosterone, there was no association with testosterone or hematocrit levels.
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spelling doaj-art-213a015b061a48ddaa75b284d9963c2e2025-02-03T01:20:22ZengWileyInternational Journal of Endocrinology1687-83371687-83452015-01-01201510.1155/2015/970750970750Myocardial Infarction and Stroke Risk in Young Healthy Men Treated with Injectable TestosteroneRobert S. Tan0Kelly R. Cook1William G. Reilly2Low T Institute, Dallas, TX 76092, USALow T Institute, Dallas, TX 76092, USALow T Institute, Dallas, TX 76092, USAThis study was conducted to examine the association between testosterone therapy and new myocardial infarction (MI) and stroke events in a series of patients treated at Low T Centers across the United States, consisting of mainly young (mean age = 46), otherwise, healthy men. Electronic medical records were queried between the years 2009 and 2014 to identify patients diagnosed with hypogonadism, MI, and stroke, as indicated by ICD-9 codes. The incidence of MI and stroke events was compared to community-based registries. 39,936 patients recruited from 40 Low T Centers across the United States were treated and 19,968 met eligibility criteria for receiving testosterone treatment. The incidence rate ratio (IRR) for MI in testosterone- (T-) treated versus nontreated patients was 0.14 (C.I. = 0.08 to 0.18, P<0.0001) whereas the IRR for stroke for T-treated versus nontreated patients was 0.11 (C.I. = 0.02 to 0.13, P<0.0001). There was no evidence of worsening preexisting MI or stroke in patients treated with testosterone. The experience in Low T Centers shows that, in an injectable testosterone patient registry, testosterone is generally safe for younger men who do not have significant risk factors. Of patients that developed MI with testosterone, there was no association with testosterone or hematocrit levels.http://dx.doi.org/10.1155/2015/970750
spellingShingle Robert S. Tan
Kelly R. Cook
William G. Reilly
Myocardial Infarction and Stroke Risk in Young Healthy Men Treated with Injectable Testosterone
International Journal of Endocrinology
title Myocardial Infarction and Stroke Risk in Young Healthy Men Treated with Injectable Testosterone
title_full Myocardial Infarction and Stroke Risk in Young Healthy Men Treated with Injectable Testosterone
title_fullStr Myocardial Infarction and Stroke Risk in Young Healthy Men Treated with Injectable Testosterone
title_full_unstemmed Myocardial Infarction and Stroke Risk in Young Healthy Men Treated with Injectable Testosterone
title_short Myocardial Infarction and Stroke Risk in Young Healthy Men Treated with Injectable Testosterone
title_sort myocardial infarction and stroke risk in young healthy men treated with injectable testosterone
url http://dx.doi.org/10.1155/2015/970750
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AT kellyrcook myocardialinfarctionandstrokeriskinyounghealthymentreatedwithinjectabletestosterone
AT williamgreilly myocardialinfarctionandstrokeriskinyounghealthymentreatedwithinjectabletestosterone