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Re: ACOG Chicago..a sad story-Heart disease in women From: jkulkin (jkulkin@mindspring.com) Thu May 3 05:57:24 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: need help with this one" Previous message: Gloria Lemay: "need help with this one" Maybe in reply to: jkulkin: "ACOG Chicago..a sad story-Heart disease in women" Next in thread: art fougner, md: "Re: ACOG Chicago..a sad story-Heart disease in women" Reply: art fougner, md: "Re: ACOG Chicago..a sad story-Heart disease in women" Can't extrapolate the PEPI Trial data on micronized progesterone as MI was not a measureable endpoint, only lipid changes. The WHI study wil help us with that when the data is avaialable in 3-4 years. In the interim, I thnk using HRT in these people is as exposes the doc should these people have a repeat MI in year one of HRT. Possibly informed consent is a good idea? Jay Larry Glazerman wrote: > Yeah, but first of all, there was no data in HERS about progestins other > than MPA, in addition, over the 4 years of the study, the incidence of > repeat MI was unchanged. > > At 05:33 PM 5/2/01 -0500, you wrote: > >Went to an interactive session. You know, where you use the "audeince > >participation" device like they do on "who wants to be a > >millionaire". The topic was HRT. The case posed was, "A 54 yo lady s/p MI now > >presents with menopausal symptoms i.e., amenorrhea, hot flashes, trouble > >sleeping etc. They then listed the options for treatment . As I recall > >they were: > > > >HRT > >SERM > >Bisphosphonates > >Belergal > >There was one more but I forget what it was though it was irrelevant. > > > >An incredible 71% responded they would give the patient HRT. Clearly they > >were unaware of the HERS data indicating an increased risk of repeat MI in > >the first year in this group of women with known heart > >disease. . Pretty troubling to think this is happening. > > > >Jay > > > >"art fougner, md" wrote: > > > > > and that should read "courts, not course." of course ;) > > > > > > art > > > > > > At Fri, 27 Apr 2001, RModugno@aol.com wrote: > > > > > > > > <A > > HREF="http://www.ctnow.com/scripts/editorial.dll?fromspage=CG/articles/business.htm&categoryid=&bfromind=377&eeid=4458465&eetype=article&render=y&ck=&ver=2.8&377&eeid=4458465&eetype=article&render=y&ck=&ver=2.8&icle&render=y&ck=&ver=2.8>> > > >Robert Modugno MD MBA FACOG > > > >Marietta, GA > > > > > > -- > > > art fougner, md > > > > > > A series of 1000 cases begins with but a single anecdote. > > Larry R. Glazerman, MD > Ob-Gyn at Trexlertown > 610-402-0161 > l.glazerman@rcn.com Next message: Braun, R. Daniel: "Re: need help with this one" Previous message: Gloria Lemay: "need help with this one" Maybe in reply to: jkulkin: "ACOG Chicago..a sad story-Heart disease in women" Next in thread: art fougner, md: "Re: ACOG Chicago..a sad story-Heart disease in women" Reply: art fougner, md: "Re: ACOG Chicago..a sad story-Heart disease in women"

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