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Cardiovascular Mortality Risk and HRT

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Sex Steroids' Effects on Brain, Heart and Vessels

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Abstract

Cardiovascular disease (CVD) is the leading cause of mortality in Western populations. It is also known that the lifelong risk for CVD is higher for men than women; however, in postmenopausal women, risk for CVD elevates more rapidly than among same-aged men. Although epidemiological studies indicate that CVD risk is reduced in postmenopausal hormone replacement therapy (HRT) users, this was not confirmed by the initial results of the randomized Women’s Health Initiative (WHI) trial. Interestingly, after several reanalyses also WHI data indicate that HRT after all provide CVD protection if initiated close to menopause, as was the case in observational studies. Furthermore, new clinical data show that cardiovascular mortality risk is reduced among HRT users.

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Correspondence to Tomi S. Mikkola .

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© 2019 International Society of Gynecological Endocrinology

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Mikkola, T.S. (2019). Cardiovascular Mortality Risk and HRT. In: Brinton, R., Genazzani, A., Simoncini, T., Stevenson, J. (eds) Sex Steroids' Effects on Brain, Heart and Vessels. ISGE Series. Springer, Cham. https://doi.org/10.1007/978-3-030-11355-1_19

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  • DOI: https://doi.org/10.1007/978-3-030-11355-1_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-11354-4

  • Online ISBN: 978-3-030-11355-1

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