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The administration of T in physiological concentration increases coronary blood flow in patients with coronary heart disease.257 Beneficial effects on endothelial function258 and myocardial ischemia have also been demonstrated,248,259,260 but not with cardiovascular mortality.257,258 In addition, testosterone has a negative correlation with fibrinogen, plasminogen activator inhibitor-1261 and a direct effect on several vasoactive factors such as endothelin,262 prostacyclin, thromboxane A2 and platelet aggregation,263 blood coagulation, and fibrinolysis, respectively.248,2

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