Interference of Progestins With Endothelial Actions of Estrogens

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Estrogens, progestins, and atherosclerosis.

To the Editor: We feel compelled to comment on the Brief Review “Should progestins be blamed for the failure of hormone replacement therapy to reduce cardiovascular events in randomized controlled trials?” by Koh and Sakuma.1 Specifically, although we agree with the suggestion that the effects of estrogen on the vasculature may depend on the extent and severity of existing atherosclerosis, we d...

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Estrogens, Progestins, and Atherosclerosis

To the Editor: We feel compelled to comment on the Brief Review “Should progestins be blamed for the failure of hormone replacement therapy to reduce cardiovascular events in randomized controlled trials?” by Koh and Sakuma.1 Specifically, although we agree with the suggestion that the effects of estrogen on the vasculature may depend on the extent and severity of existing atherosclerosis, we d...

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To the Editor: We feel compelled to comment on the Brief Review “Should progestins be blamed for the failure of hormone replacement therapy to reduce cardiovascular events in randomized controlled trials?” by Koh and Sakuma.1 Specifically, although we agree with the suggestion that the effects of estrogen on the vasculature may depend on the extent and severity of existing atherosclerosis, we d...

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Estrogens, progestins, and heart disease: can endothelial function divine the benefit?

Coronary atherosclerosis is a prevalent, preventable, but slow disease. Demonstrating the clinical effect of an intervention requires at least 3 to 5 years, even in high-risk populations. Despite considerable supportive observational data, the value of hormone replacement therapy in the treatment of coronary heart disease in postmenopausal women remains uncertain. It is therefore very attractiv...

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ژورنال

عنوان ژورنال: Arteriosclerosis, Thrombosis, and Vascular Biology

سال: 2009

ISSN: 1079-5642,1524-4636

DOI: 10.1161/atvbaha.108.182337