Effects of blood pressure reduction on cardiovascular risk estimates in hypertensive postmenopausal women
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Published on: August 13, 2019
1Division of Clinical Pharmacology and Pharmacokinetics Clinical Research Center, Department of Medicine, Miller School of Medicine, University of Miami, Miami, FL 33136, USA.
Insights
Menopause increases hypertension risk, impacting cardiovascular health. Hormone therapy with drospirenone/17beta-estradiol effectively lowers blood pressure in postmenopausal women, aiding cardiovascular risk management.
Area of Science:
- Cardiovascular Medicine
- Endocrinology
- Women's Health
Background:
- Menopause is associated with a higher incidence of hypertension, contributing to cardiovascular risk in postmenopausal women.
- Elevated blood pressure, even high-normal levels, significantly increases cardiovascular and target organ event risk.
- Despite proven benefits, hypertension remains undertreated in a majority of patients.
Purpose of the Study:
- To evaluate the effect of hormone therapy (drospirenone/17beta-estradiol) on blood pressure in hypertensive postmenopausal women.
- To assess the potential of this hormone therapy in managing elevated blood pressure and associated cardiovascular risks.
Main Methods:
- Clinical study involving hypertensive postmenopausal women.
- Administration of drospirenone/17beta-estradiol alone or with antihypertensive drugs.
- Monitoring of blood pressure changes.
Main Results:
- Drospirenone/17beta-estradiol demonstrated a blood pressure-lowering effect in hypertensive postmenopausal women.
- This effect was observed both as monotherapy and in combination with existing antihypertensive treatments.
- The hormone therapy may offer an advantage for managing elevated blood pressure in this demographic.
Conclusions:
- Hormone therapy with drospirenone/17beta-estradiol can effectively reduce blood pressure in hypertensive postmenopausal women.
- This treatment approach may be beneficial for cardiovascular risk reduction in postmenopausal women with elevated blood pressure.
- Early identification and management of elevated blood pressure are crucial for postmenopausal women's health.
Abstract:
Menopause is accompanied by an increased prevalence of hypertension, which may partially explain the corresponding cardiovascular risk observed in postmenopausal women. The relationship between blood pressure and cardiovascular risk is continuous, consistent and independent of other risk factors. There are profound benefits of treating hypertension: antihypertensive therapy has been associated with large reductions in stroke, myocardial infarction and heart failure. Despite these proven benefits, hypertension is inadequately treated, or not treated at all, in the majority of patients. There has been concern regarding the use of hormone therapy in hypertensive postmenopausal women. Drospirenone/17beta-estradiol, a hormone therapy, has been demonstrated to lower blood pressure in hypertensive postmenopausal women either alone or when administered simultaneously with antihypertensive drugs. This might offer a potential advantage in patients with elevated blood pressure. It is also known that the risk for target organ events extends to levels well below the established definition of 140/90 mmHg. High-normal blood pressure carries an increased cardiovascular risk when compared to lower levels of blood pressure. Identification and management of elevated blood pressure are an important component of the successful management of the postmenopausal woman and can help prevent the untoward consequences of elevated blood pressure.
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