Enfermedad cardiovascular terapia hormonal en reemplazo: estado actual de la controversia

Néstor  Siseles; Pamela Gutiérrez

doi:10.31053/1853.0605.v62.n2.27919

Autores

Néstor Siseles
Pamela Gutiérrez

DOI:

https://doi.org/10.31053/1853.0605.v62.n2.27919

Palavras-chave:

.

Resumo

Los efectos cardiovasculares de los esteroides sexuales en la mujer son complejos y para complicar aún más la situación existen diferencias en los efectos de los distintos regímenes terapéuticos, dosis y vías de administración de la terapia hormonal de reemplazo (THR) en la post-menopausia. Incluso la interpretación de los estudios clínicos es problemática en vista de múltiples factores que pueden llevar a confusión, además de los sesgos y defectos metodológicos encontrados en algunas circunstancias post-hoc. En este contexto plantear conclusiones definitivas y recomendaciones parecería una tarea imposible. Nuestra sugerencia para la práctica clínica diaria es intentar seguir la corriente principal de la información científica, analizar los datos generales e intentar individualizar la THR para maximizar los beneficios y minimizar los efectos adversos. Este artículo resume el estado actual de la THR y el sistema cardiovascular. Dado lo vasto de la información en la era postWHl, solo presentamos las ideas actuales y tendencias en este campo para el uso práctico del profesional en sus decisiones clínicas.

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