Effects of simvastatin combined with ezetimibe on testosterone and blood glucose in male patients with stable coronary artery disease
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Effects of simvastatin combined with ezetimibe on testosterone and blood glucose in male patients with stable coronary artery disease
Journal of Chongqing Medical UniversityVol. 40, Issue 4, Pages: 488-492(2015)
作者机构:
1. 东莞康华医院心血管内科,东莞,523080
2. 川北医学院生理教研室,南充,637000
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Published:2015,
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Cai Qibing, Li Santan, Chen Chen, et al. Effects of simvastatin combined with ezetimibe on testosterone and blood glucose in male patients with stable coronary artery disease. [J]. Journal of Chongqing Medical University 40(4):488-492(2015)
DOI:
Cai Qibing, Li Santan, Chen Chen, et al. Effects of simvastatin combined with ezetimibe on testosterone and blood glucose in male patients with stable coronary artery disease. [J]. Journal of Chongqing Medical University 40(4):488-492(2015)DOI:
Effects of simvastatin combined with ezetimibe on testosterone and blood glucose in male patients with stable coronary artery disease
Objective:To evaluate the effect of simvastatin combined with ezetimibe on testosterone values in male patients with stable coronary artery disease(SCAD) and without diabetes;to observe the blood glucose level after the combined therapy. Methods:A sin-gle-center,randomized,open-label trial involving 90 patients was conducted. The patients were randomized into two groups:the trial group received 40 mg per day of simvastatin plus 10 mg per day of ezetimibe and the control group received simvastatin 40 mg per day alone;the treatment in both groups lasted for 12 weeks. Testosterone,fasting blood glucose(FBG),glycosylated hemoglobin A1c(HbA1c),lipid profiles were determined at the enrollment and at the end of the treatment. Results:Both treatments were equally effective in increasing total cholesterol(TC) and low-density lipoprotein-cholesterol(LDL-C)(P<0.05). TC and LDL-C levels were lowered in trial group than in control group(P<0.05). At the end of study,testosterone levels remained unchanged in control group and slightly decreased in trial group(P=0.085). No explicit elevation in FBG or HbA1c was observed in both groups after the treatment. Safety and tolerability profiles were similar in the two groups. Conclusion:Simvastatin 40 mg combined with ezetimibe 10 mg can reduce LDL-C without affecting testosterone levels. No side effect in glycometabolism is observed in the short term.
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