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Excerpt
Objective: To determine the prevalence of HRT in postmenopausal women seen in a cardiology ambulatory that monitors cardiovascular risk factors.
Design: Observational study.
Participants and Methods: Every postmenopausal woman older than 50 that searched for a cardiologic visit filled out a questionnaire about HRT use. physical activity, and smoking status. All were investigated for hypertension, diabetes, hyperlipidemias, and obesity.
Results: A total of 345 women were included, ranging in age from 50 to 92 (average = 63.7). Twenty four percent were in secondary prevention while 72.8% were hypertensive, 21.4% were diabetic, 82.9% were hyperlipidemic, and 28.4% were obese. Menopause was natural in 81.7%, and in 18.3% it happened after surgery. HRT was used by 20% of the participants. The reasons for not using HRT were no gynecological visits (28.4%). not indicated by the gynecologist (22%), adverse effects (10.7%). believed that it had deleterious effects (4.9%), interrupted by the gynecologist (4.9%). contraindicated by the gynecologist (4.3%), and had no interest in the use (4.1%). HRT was used only for 17.9% of hypertensive (p = 0.115). 6.8% of diabetics (p = 0.0013). 18.2% of hyperlipidemics (p = 0.131). and 11.2% of obese participants (p = 0.061).
Conclusion: Despite the high prevalence of cardiovascular risk factors among the participants. HRT was used only by a small percentage.
