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Increased Coronary Events, HERS, and HRT: Any Connection?
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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On behalf of the American Society for Reproductive Medicine, Birmingham,
Ala, the Menopause Special Interest Group, Birmingham, would like to comment
on the recent review article by John A. Blakely,1
who reassessed the findings of the Heart and Estrogen/Progestin Replacement
Study (HERS).2 The HERS study was conducted
to determine if hormone replacement therapy (HRT) reduces the number of coronary
events in women who already have coronary artery disease (ie, a secondary
prevention trial). The results included the unexpected finding that an early
increase in coronary events is associated with daily treatment with both 0.625
mg of conjugated equine estrogen and 2.5 mg of medroxyprogesterone acetate
at the same time in women with established coronary disease. Over the 4-year
period of observation, however, there was no statistical difference between
the women receiving estrogen-progestin and those receiving placebo. Dr Blakely
suggests that the HRT precipitated this increase in early cardiovascular events.
He . . . [Full Text of this Article]
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RELATED ARTICLE
The Heart and Estrogen/Progestin Replacement Study Revisited: Hormone Replacement Therapy Produced Net Harm, Consistent With the Observational Data
John A. Blakely
Arch Intern Med. 2000;160(19):2897-2900.
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