Estrogen and cardiovascular disease.

Autor: Gersh F; University of Arizona School of Medicine, Division of Integrative Medicine, Tucson, AZ, USA. Electronic address: fgersh@integrativemgi.com., O'Keefe JH; Saint Luke's Mid America Heart Institute, University of Missouri-Kansas City, Kansas City, MO, USA., Elagizi A; John Ochsner Heart and Vascular Institute, Ochsner Clinical School -the University of Queensland School of Medicine, New Orleans, LA, USA., Lavie CJ; John Ochsner Heart and Vascular Institute, Ochsner Clinical School -the University of Queensland School of Medicine, New Orleans, LA, USA., Laukkanen JA; Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland; Department of Internal Medicine, Wellbeing Services County of Central Finland, Jyvaskyla, Finland.
Jazyk: angličtina
Zdroj: Progress in cardiovascular diseases [Prog Cardiovasc Dis] 2024 May-Jun; Vol. 84, pp. 60-67. Date of Electronic Publication: 2024 Jan 24.
DOI: 10.1016/j.pcad.2024.01.015
Abstrakt: A large body of scientific research accumulated over the past twenty years documents the cardiovascular (CV) benefits of estradiol (E2) and progesterone (P4) in reproductive aged women. In contrast, accelerated development of CV disease (CVD) occurs in the absence of ovarian produced E2 and P4. Hormone replacement therapy (HRT) with E2 and P4 has been shown to cause no harm to younger menopausal women. This robust scientific data supports a reconsideration of the prescriptive use of E2 and P4 as preventative therapeutics for the reduction of CVD, even without additional large-scale studies of the magnitude of the Women's Health Initiative (WHI). With the current expanded understanding of the critical modulatory role played by E2 on a multitude of systems and enzymes impacting CVD onset, initiation of HRT shortly after cessation of ovarian function, known as the "Timing Hypothesis", should be considered to delay CVD in recently postmenopausal women.
Competing Interests: Declaration of competing interest None.
(Copyright © 2023. Published by Elsevier Inc.)
Databáze: MEDLINE
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