Men's Health
Bate Papo na Saúde program, Canal Saúde - Fiocruz
Aired on 30/03/2015
The main cause of death in men was ischemic heart disease, including acute myocardial infarction. In all, 49,128 men died from this cause. Cerebrovascular diseases were the second leading cause of death for men, with 45,180 deaths. The two causes can be grouped together as cardiovascular diseases, totaling 94,308 deaths in men. These diseases are mainly caused by endothelial lesions (blood vessels).
These lesions are first visible in the smaller vessels, such as the penile artery (1-2 mm). Occlusion of these vessels causes erectile sexual dysfunction (ESD) or lack of erection.
Ponholzer et al showed that coronary artery disease is 65% higher in men with moderate to severe ESRD than in normal men.
Inman et al observed that patients with SDB have an 80% higher risk of acute myocardial infarction compared to normal individuals. Men between the ages of 40 and 49 with moderate to severe ESRD have a 50 times greater risk of developing cardiovascular disease.
In addition to ESRD, we have another important factor for cardiovascular disease in men: the reduction in testosterone with age, known as Late Onset Hypogonadism (LOH), which affects 6% of the male population at the age of 40 and 12.3% at the age of 69.
Recent data in the literature shows that the age-related increase in the risk of coronary heart disease appears in conjunction with a reduction in testosterone.
Patients undergoing hormone blockade, i.e. removal of testosterone from circulation (castration) due to prostate cancer, are at high risk of coronary heart disease due to the marked reduction in serum testosterone. Male hormone replacement is an important factor in the quest to reduce the incidence of cardiovascular disease. It leads to a reduction in cholesterol, greater exercise tolerance, greater sensitivity to insulin action (helping to control diabetes), a reduction in the thickness of the artery wall and a reduction in inflammatory factors in the endothelium (vessel).
Considering the above, every man must recognize that he is neither immortal nor immune to disease. Recognizing your limitations and seeking appropriate medical care is essential to living a healthy life.