Hormonalna terapia okresu menopauzy – spojrzenie okiem hipertensjologa

The results of experimental studies and clinical observations from the last two decades indicate the beneficialimpact of oestrogens on the cardiovascular system. However, later published large randomized clinical trials(WHI, HERS) did not confirm the benefits of hormonal substitution in primary as w...

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Main Author: Anna Posadzy-Małaczyńska
Format: Article
Language:English
Published: Termedia Publishing House 2011-04-01
Series:Menopause Review
Subjects:
Online Access:http://www.termedia.pl/Hormonalna-terapia-okresu-menopauzy-spojrzenie-okiem-hipertensjologa,4,16617,1,0.html
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author Anna Posadzy-Małaczyńska
author_facet Anna Posadzy-Małaczyńska
author_sort Anna Posadzy-Małaczyńska
collection DOAJ
description The results of experimental studies and clinical observations from the last two decades indicate the beneficialimpact of oestrogens on the cardiovascular system. However, later published large randomized clinical trials(WHI, HERS) did not confirm the benefits of hormonal substitution in primary as well as secondary preventionof cardiovascular diseases in women. Thus it was concluded that the studies should be designed and interpretedin a different way. The reasons for these discrepancies are probably the different effects of oestrogens onthe healthy and atherosclerotically changed coronary arteries. We cannot expect that the oestrogens, even inlong-term treatment, would reverse the process in an already changed artery wall, which was progressing foryears. The time of the start of hormone replacement after the occurrence of menopause may also be significant.The WHI clinical trial, which was by the opponents considered as proof of the lack of benefits of this therapyin primary prevention, concerned a population of women who had been after the menopause for many years.
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spelling doaj.art-4bc32ab763784fad8f100820e55448182022-12-22T02:20:26ZengTermedia Publishing HouseMenopause Review1643-88762011-04-01152132138Hormonalna terapia okresu menopauzy – spojrzenie okiem hipertensjologaAnna Posadzy-MałaczyńskaThe results of experimental studies and clinical observations from the last two decades indicate the beneficialimpact of oestrogens on the cardiovascular system. However, later published large randomized clinical trials(WHI, HERS) did not confirm the benefits of hormonal substitution in primary as well as secondary preventionof cardiovascular diseases in women. Thus it was concluded that the studies should be designed and interpretedin a different way. The reasons for these discrepancies are probably the different effects of oestrogens onthe healthy and atherosclerotically changed coronary arteries. We cannot expect that the oestrogens, even inlong-term treatment, would reverse the process in an already changed artery wall, which was progressing foryears. The time of the start of hormone replacement after the occurrence of menopause may also be significant.The WHI clinical trial, which was by the opponents considered as proof of the lack of benefits of this therapyin primary prevention, concerned a population of women who had been after the menopause for many years.http://www.termedia.pl/Hormonalna-terapia-okresu-menopauzy-spojrzenie-okiem-hipertensjologa,4,16617,1,0.htmlmenopausemenopausal hormone therapy (MHT)transdermal MHToral MHThypertension
spellingShingle Anna Posadzy-Małaczyńska
Hormonalna terapia okresu menopauzy – spojrzenie okiem hipertensjologa
Menopause Review
menopause
menopausal hormone therapy (MHT)
transdermal MHT
oral MHT
hypertension
title Hormonalna terapia okresu menopauzy – spojrzenie okiem hipertensjologa
title_full Hormonalna terapia okresu menopauzy – spojrzenie okiem hipertensjologa
title_fullStr Hormonalna terapia okresu menopauzy – spojrzenie okiem hipertensjologa
title_full_unstemmed Hormonalna terapia okresu menopauzy – spojrzenie okiem hipertensjologa
title_short Hormonalna terapia okresu menopauzy – spojrzenie okiem hipertensjologa
title_sort hormonalna terapia okresu menopauzy spojrzenie okiem hipertensjologa
topic menopause
menopausal hormone therapy (MHT)
transdermal MHT
oral MHT
hypertension
url http://www.termedia.pl/Hormonalna-terapia-okresu-menopauzy-spojrzenie-okiem-hipertensjologa,4,16617,1,0.html
work_keys_str_mv AT annaposadzymałaczynska hormonalnaterapiaokresumenopauzyspojrzenieokiemhipertensjologa