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April 1, 1999Journal of Hypertension

Estrogen improves abnormal norepinephrine-induced vasoconstriction in postmenopausal women

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Key result

Estrogen replacement and acute premarin infusion significantly attenuated exaggerated blood pressure responses to mental stress and norepinephrine-induced vasoconstriction in postmenopausal women (P<0.001).

Why the study?

Does estrogen attenuate abnormal norepinephrine-induced vasoconstriction and exaggerated blood pressure responses to mental stress in postmenopausal women?

Population

53 healthy, normotensive women with normal lipid profiles, comprising 18 premenopausal, 22 postmenopausal…

Comparison

Acute infusion of Premarin 200 microg/min… vs Norepinephrine infusion alone; premenopausal…

Design

Cross-sectional

Authors

BSBong Hee SungSamsung (South Korea)MCMarilou ChingLineage Cell Therapeutics (United States)JIJoseph L. IzzoGeneral / Preventive / Lipids

Discussion

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Member takes

Overview

Estrogen may attenuate exaggerated stress BP responses via reduced vasoconstriction; leaves open causal effects pending randomized trials.

Structured PICO

Does estrogen attenuate abnormal norepinephrine-induced vasoconstriction and exaggerated blood pressure responses to mental stress in postmenopausal women?

P
Population
53 healthy, normotensive pre- and postmenopausal women evaluated for hemodynamic responses to mental stress and norepinephrine.
I
Intervention
Acute infusion of Premarin (estrogen) 200 microg/min combined with norepinephrine (100 ng/min) into the dorsal hand vein (in 10 postmenopausal women); and chronic estrogen replacement therapy.
C
Comparator
Norepinephrine infusion alone; premenopausal status; postmenopausal status without estrogen replacement therapy.
O
Outcome
Hemodynamic (blood pressure) response to a standard mental arithmetic test and venous diameter changes (vasoconstriction) in response to norepinephrine infusion measured by ultrasonography.surrogate

Main Result

p-value: p=< 0.001

Estrogen administration acutely attenuates exaggerated norepinephrine-induced vasoconstriction in postmenopausal women, providing a physiological mechanism for the increased blood pressure response to stress following menopause.

Cite This Study

Sung et al. (1999) studied Healthy, normotensive postmenopausal women (n=53). Estrogen (replacement therapy and acute Premarin infusion) vs. Postmenopausal women without estrogen was evaluated on Hemodynamic responses to mental stress and constrictor responses to norepinephrine (p=< 0.001). Estrogen replacement and acute premarin infusion significantly attenuated exaggerated blood pressure responses to mental stress and norepinephrine-induced vasoconstriction in postmenopausal women (P<0.001).

synapsesocial.com/papers/6a6589b01a73af1ea1b69f2bhttps://doi.org/10.1097/00004872-199917040-00010
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Menopausal status influences ambulatory blood pressure levels and blood pressure changes during mental stress.1993 · 202 citations
  2. 2Menopause Is Associated With Endothelial Dysfunction in Women1996 · 480 citations
  3. 3Insulin Attenuates Norepinephrine- Induced Venoconstriction1995 · 88 citations
  4. 4Insulin-Mediated Venodilation Is Impaired in Patients With High Cholesterol1998 · 12 citations
  5. 5Hypertension in Women: What is Really Known?1991 · 161 citations