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The use of hormone replacement therapy in women with acute myocardial infarction: an audit of current practice
Author(s) -
Edozien G. Y.,
Edozien L. C.,
Klimiuk P. S.,
Mander A. M.
Publication year - 1997
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1997.tb10983.x
Subject(s) - contraindication , medicine , myocardial infarction , hormone replacement therapy (female to male) , audit , hormone therapy , intensive care medicine , hormone replacement , epidemiology , hormone , alternative medicine , cancer , pathology , breast cancer , economics , testosterone (patch) , management
We undertook criterion‐based audit of the current practice of prescribing hormone replacement therapy for women with acute myocardial infarction; the audit included 181 consecutive women admitted to one hospital with this diagnosis in one calendar year. The set standard was that, barring any contraindication, all postmenopausal women with acute myocardial infarction should be prescribed hormone replacement therapy before discharge from hospital. The evidence base of this standard derives from more than 30 epidemiological and clinical studies and a large body of biological data. Only 4.7% of the women were current users of hormone replacement therapy and the set standard was met in only 3% of eligible nonusers. Professionals caring for women who have had a myocardial infarction need to consider hormone replacement therapy as a secondary prophylaxis of myocardial infarction. Gynaecologists should liaise with colleagues in other specialties and general practice to ensure that information on the nongynaecological benefits of hormone replacement therapy is widely disseminated.