“…Testosterone-induced production of nitric oxide (3), relaxation of various vascular beds (16,66), decrease of total cholesterol, low-density lipoprotein and triglycerides, and formation of endothelial progenitor cells (21) may account for the protective effects of the androgen in the cardiovascular system. However, reports of sudden cardiovascular death among male athletes abusing of anabolic steroids and the fact that in many experimental models of hypertension [spontaneously hypertensive rats (54), Dahl salt-sensitive rats (13), genetically hypertensive rats (1), and rats with deoxycorticosterone acetate-saltinduced hypertension (15)], males have higher levels of arterial pressure, which are abrogated by orchiectomy (9,54), indicate that testosterone is detrimental to the cardiovascular system. In addition, testosterone has been shown to directly affect many of the mechanisms that control cardiovascular function, such as the renin-angiotensin-aldosterone system, sympathetic neural activity, endothelial function, and VSMC tone (7,14,40).…”