Post Myocardial Infarction Rehabilitation

Post Myocardial Infarction Rehabilitation

Post Myocardial Infarction Rehabilitation

This article was written by Dr. Jannet Huang, with permission. It is available on the Optimal Health Website's Newsletter at http://thecenterforopitmalhealth.org/.

What is the true story about HT? To answer this question, the scientific studies regarding HT must be looked at critically. The estrogen and progestin arm of WHI studied over 16,608 “healthy” postmenopausal women, evaluating the effects of conjugated equine estrogen and medroxyprogesterone (CEE and MPA) on breast cancer, cardiovascular disease, fractures and other outcomes. The combined estrogen and progestin arm was terminated prematurely in July 2002. The following is a summary of the findings. If we assume the study results were valid, the results showed that over one year, 10,000 women taking estrogen plus progestin compared with placebo might experience:

  • 7 more coronary heart disease (CHD) events
  • 8 more strokes
  • 18 more thromboembolic events (blood clots)
  • 8 more invasive breast cancers
  • 6 fewer colorectal cancers
  • 5 fewer hip fractures

One can see that the absolute change in the risk of heart disease, stroke and breast cancer was small.