Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2009-3-11
pubmed:abstractText
We sought to determine the impact of hormone replacement therapy (HRT) on the occurrence of coronary artery disease (CAD) in women with systemic lupus erythematosus (SLE). Women in the University of Toronto lupus database who had taken HRT with no history of CAD were compared with all post-menopausal female patients with no history of HRT or CAD. Chi-squared and t-tests were used to compare the risk factors of CAD and Kaplan-Meier curve, log rank test and proportional hazard model with time-dependent covariates were used to compare the time from entry into the clinic to occurrence of CAD. A total of 114 HRT-user patients with no history of CAD were compared with 227 post-menopausal non-HRT user SLE controls. The groups were similar with respect to lupus anticoagulant, antiphospholipid antibody, cumulative steroid dose and classic cardiac risk factors. A similar percentage of patients developed CAD in the control (13.7%) and HRT (11.4%) groups. There was no difference in the time to development of CAD. In the multivariate analysis, HRT was not a risk factor for CAD. Only age (P = 0.0001, HR = 1.11, 95% CI = 1.05, 1.17) and SLEDAI-2K (P = 0.0001, HR = 1.10, 95% CI = 1.05, 1.16) were significantly associated with the risk of CAD. In this small group of patients with SLE, HRT alone did not appear to predispose to CAD.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0961-2033
pubmed:author
pubmed:issnType
Print
pubmed:volume
18
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
313-7
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:19276299-Adult, pubmed-meshheading:19276299-Antibodies, Antiphospholipid, pubmed-meshheading:19276299-Canada, pubmed-meshheading:19276299-Cohort Studies, pubmed-meshheading:19276299-Coronary Artery Disease, pubmed-meshheading:19276299-Databases, Factual, pubmed-meshheading:19276299-Estrogen Replacement Therapy, pubmed-meshheading:19276299-Female, pubmed-meshheading:19276299-Follow-Up Studies, pubmed-meshheading:19276299-Glucocorticoids, pubmed-meshheading:19276299-Humans, pubmed-meshheading:19276299-Kaplan-Meier Estimate, pubmed-meshheading:19276299-Lupus Coagulation Inhibitor, pubmed-meshheading:19276299-Lupus Erythematosus, Systemic, pubmed-meshheading:19276299-Middle Aged, pubmed-meshheading:19276299-Multivariate Analysis, pubmed-meshheading:19276299-Postmenopause, pubmed-meshheading:19276299-Proportional Hazards Models, pubmed-meshheading:19276299-Risk Factors, pubmed-meshheading:19276299-Time Factors
pubmed:year
2009
pubmed:articleTitle
Hormone replacement therapy in women with systemic lupus erythematosus and risk of cardiovascular disease.
pubmed:affiliation
University of Toronto Lupus Clinic, Toronto Western Hospital, Toronto, Ontario, Canada.
pubmed:publicationType
Journal Article