Increased prevalence of prolonged QT interval in males with primary or secondary hypogonadism: a pilot study.

Symptoms and signs of male hypogonadism span all organ systems, including the cardiovascular apparatus. The electrocardiographic QT interval reflects cardiac ventricular repolarization and, if prolonged, increases the risk of malignant arrhythmias. QT interval duration is similar in boys and girls during childhood, but shortens in males after puberty and experimental studies suggest that testosterone is a major contributor to shortening of QT interval in men. The aim of the present pilot study was to assess the duration of ventricular repolarization in adult males with primary or secondary hypogonadism. Standard ECG recordings were performed in 26 men (mean age 39.2 +/- 2.17 years) with pituitary or testicular hypogonadism and repeated in 15 patients during testosterone replacement. Twenty-six age-matched control men were also analysed. Measured QT intervals were corrected for heart rate according to Bazzett's formula (QTc = QT/radical RR interval). The prevalence of prolonged QTc was considerably higher in hypogonadal patients (four of 26 men) than in control men (none, p < 0.05) and in the general, healthy population (<2.5%). QTc interval normalized on hormone replacement therapy in the four patients presenting prolonged QTc in the hypogonadal state. Heart rate and left ventricular mass did not differ among the two groups and no known QT-prolonging factor was apparent in patients with abnormal QTc interval. In conclusion, a high number prolonged QT interval measurements was observed in hypogonadal men who may therefore be at increased risk for cardiac arrhythmias. This observation reveals an additional feature of male hypogonadism, which may benefit from testosterone replacement therapy.

Ovarian response to hCG injections during the prepubertal period in three breeds of sheep with different ovulation rates and litter sizes.

A positive correlation was reported between ovulation (OR) rate in response to hCG in prepubertal ewe lambs and adult ewes. The finding suggested that the response to hCG may be used to select prepubertal ewe lambs for prolificacy. We studied plasma FSH concentrations and ovarian response to hCG injection during the prepubertal period in breeds with high (Chios), medium (Florina) and low (Karagouniki) OR and litter sizes (LS). The results showed that Chios ewe lambs presented a higher profile of plasma FSH during the 3rd to 7th wk of age when compared to the breeds with medium (Florina) and low (Karagouniki) OR and LS. The ovarian response to hCG showed that the Chios ewe lambs responded earlier, by exhibiting ovulation at 6 wks and more effectively, by demonstrating a higher OR than the other two breeds. There was no correlation among plasma FSH concentrations during prepubertal age (3rd to 7th wk), ovulation rate after hCG injection, or litter size at first and second lambing for all breeds. Therefore we concluded that the plasma FSH concentrations and/or the ovarian response to hCG injection during the prepubertal period is not a suitable criterion for early selection for litter size in the adult ewe of these breeds.