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It also goes over how common fast heart rate is as a side effect, which people may be at higher risk, and when to talk to a doctor. This means that testosterone may affect how the heart contracts, among other functions. Here's what you need to know about the relationship between high testosterone and heart problems. Testosterone is a vitally important hormone in the body and a hot topic in health circles. Despite decades of research on the topic, clinical and preclinical data on the effects of exogenous and endogenous testosterone have produced contradictory and/or inconclusive results. Given the prevalence and morbidity of CVD, it is important to clarify potential risk factors, especially in men, as they face higher cardiovascular risk than women. However, it is important to further understand the interplay between the 2 variables in mediating risk and affecting the success of targeted interventions in men involving testosterone therapies and/or physical activity. Preclinical studies suggest that testosterone promotes the differentiation of pluripotent stem cells to the myogenic lineage and inhibits their commitment to the adipogenic lineage.83 At a later stage, testosterone may affect the Wnt-signalling pathway and β-catenin, inhibiting further differentiation of certain preadipocytes.84 Testosterone may also decrease abdominal fat through the stimulation of lipolysis and inhibition of adipogenesis.85 People with heart failure may already have symptoms like shortness of breath, swelling, and fatigue. This can help detect changes in heart rhythm and guide safe treatment choices. For people with arrhythmias, this extra stimulation could cause episodes of fast or irregular heartbeats. Testosterone can affect how the heart responds to signals from the nervous system. An irregular heartbeat, also called an arrhythmia, is another heart condition that can be affected by TRT. 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