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Understanding and managing the cardiovascular risks of androgen deprivation therapy for prostate cancer

Androgen deprivation therapy potentiates cardiovascular morbidity and mortality, which is the most common cause of non-cancer-related death in patients with prostate cancer. Whether the mode of testosterone suppression affects the risk of cardiovascular adverse events is unclear, especially as the 2021 PRONOUNCE trial — which aimed to compare the cardiovascular risks of gonadotropin-releasing hormone (GnRH) antagonists with GnRH agonists — was prematurely terminated.

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Correspondence to Kerem Atalar.

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P.R. declares research grant support from Ferring Pharmaceuticals. K.A. declares no competing interests.

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Atalar, K., Rajan, P. Understanding and managing the cardiovascular risks of androgen deprivation therapy for prostate cancer. Nat Rev Urol 20, 3–4 (2023).

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