000			02768na a2200253 4500
999			_c9729 _d9729
003			PC9729
005			20200121132956.0
008			130622s2013 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aspa
100			_aRomero Otero, Javier _91930 _eUrología
245	0	0	_aTestosterona y enfermedad coronaria. _h[caso clínico]
260			_bArchivos españoles de urología, _c2013
300			_a66(7):689–695.
500			_aFormato Vancouver: Leibar Tamayo A, Astobieta Odriozola A, García-Cruz E, Cordero Fort A, Romero Otero J. Testosterona y enfermedad coronaria. Arch Esp Urol. 2013;66(7):689–695.
501			_aPMID: 24047628
504			_aContiene 14 referencias
520			_aElderly patients present testosterone deficit syndrome (TDS) in a prevalent manner. TDS is defined as a clinical and biochemical syndrome with total fasting testosterone below normal levels in two consecutive measurements. A significant relationship with comorbidities such as diabetes mellitus, obesity or metabolic syndrome has been observed in these patients. These latter are recognized risk factors of coronary artery disease (CAD) and arteriosclerosis. It seems logical to think that CAD is more frequent in patients with TDS, and it is supported on multiple works demonstrating the correlation of theses two pathologies. We intend to illustrate the management of patients with TDS and CAD presenting a clinical case and the recommended diagnostic and therapeutic approach. A Sixty-four year old male with hypertension, non-insulin dependent diabetes mellitus and obesity consulted for erectile dysfunction and diminished sexual desire. Fasting total testosterone and glycosylate hemoglobin were determined. IIEF-5 was 12, Erection hardness Score was 2 and IIEF item 12 1 point over 5. His total testosterone was 150 ng/dl, which was confirmed in a second test; HDL cholesterol level was 30 mg/dl. Interrogated again, the patient referred oppressive chest pain appearing after running 50 meters for the last three months that never happened in rest or with minor efforts.
710			_9220 _aServicio de Urología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/9/pc9729.pdf _ySolicitar documento
942			_n0 _2ddc _cCAS