Hormone Replacement Therapy and Heart Disease

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Hormone replacement therapy and coronary heart disease.

Proper use of postmenopausal hormone replacement has been the subject of debate for decades. Prevailing medical opinion has swung between enthusiastic endorsement and extreme caution. The wave of optimism over estrogen's beneficial effects on menopausal symptoms and skeletal health was temporarily set back by the evidence that linked estrogen to endometrial cancer. Once studies showed that prog...

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Commentary: hormone replacement therapy and coronary heart disease: four lessons.

In 1991, Stampfer and Colditz,1 reviewing epidemiological studies of the effect of postmenopausal oestrogen on coronary heart disease concluded that: ‘... the bulk of evidence strongly supports a protective effect of estrogens that is unlikely to be explained by confounding factors ...’ Their best estimate of the relative risk of coronary heart disease (CHD) in postmenopausal oestrogen users wa...

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Hormone replacement therapy, heart disease, and other considerations.

Multiple observational studies suggest a marked reduction in risk of coronary heart disease (CHD) associated with postmenopausal estrogen use. A new meta-analysis presented here extends these results to estrogen plus progestin regimens. Although the findings from observational studies are strong and consistent, and there are several plausible mechanisms by which estrogen might reduce risk for C...

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Hormone replacement therapy and heart disease: replacing dogma with data.

In 1966, Dr Robert A. Wilson wrote an influential book entitled Feminine Forever that extolled the virtues of postmenopausal hormone replacement therapy (HRT).1 Over the next 3 decades, use of HRT to preserve the health and vitality of postmenopausal women became one of America’s most popular medical treatment paradigms. The enthusiasm for HRT was greatly enhanced by the perception that it coul...

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Hormone replacement therapy and cardiovascular disease.

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ژورنال

عنوان ژورنال: Circulation

سال: 2003

ISSN: 0009-7322,1524-4539

DOI: 10.1161/01.cir.0000048891.81129.2d