[Russian Eligibility Criteria for Prescribing Menopausal Hormone Therapy to Patients With Cardiovascular and

E V Shlyakhto1, G T Sukhikh2, V N Serov2

  • 1Almazov National Medical Research Center.

Kardiologiia
|November 16, 2023
PubMed

Insights

Menopausal hormone therapy (MHT) can safely manage symptoms for women with cardiovascular and metabolic diseases. This consensus provides criteria and an algorithm for physicians to prescribe MHT appropriately, improving quality of life.

Area of Science:

  • Endocrinology and Women's Health
  • Cardiovascular Medicine
  • Metabolic Disorders

Context:

  • Menopausal symptoms significantly impact women's careers and family life.
  • Menopausal Hormone Therapy (MHT) is the most effective treatment for these symptoms.
  • Concurrent cardiovascular and metabolic diseases often pose a barrier to MHT prescription due to physician concerns.

Purpose:

  • To analyze existing clinical trial data on MHT safety in women with cardiovascular and metabolic diseases.
  • To establish criteria for the appropriate use of MHT in this patient population.
  • To provide physicians with a practical algorithm for prescribing MHT to menopausal women with comorbidities.

Summary:

  • A consensus review of clinical trial data was conducted to assess MHT safety in women with cardiovascular and metabolic diseases.
  • Criteria were developed to guide the appropriate prescription of MHT, addressing physician concerns about potential harm.
  • The analysis resulted in an accessible algorithm for physicians to safely manage menopausal symptoms with MHT in women with comorbidities.

Impact:

  • Facilitates informed decision-making for prescribing MHT in women with cardiovascular and metabolic diseases.
  • Aims to improve the quality of life for menopausal women by enabling safe and effective symptom management.
  • Reduces physician hesitancy in prescribing MHT by providing clear guidelines and a decision-making tool.

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