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Review| Volume 1, ISSUE 4, P287-294, June 1979

Haemodynamic and hormonal effects of short-term oestradiol treatment in postmenopausal women

  • Hannu Luotola
    Affiliations
    Department of Obstetrics and Gynecology II, Helsinki University Central Hospital, Helsinki, Finland

    Department of Obstetrics and Gynecology, Central Finland Central Hospital, Jyväskylä, Finland

    Steroid Research Laboratory, Department of Medical Chemistry, University of Helsinki, Helsinki, Finland

    Isotope Laboratory, Central Finland Central Hospital, Jyväskylä, Finland
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  • Tapani Pyörälä
    Correspondence
    Address for correspondence: Tapani Pyörälä, Department of Obstetrics and Gynecology, Central Finland Central Hospital, SF-40620 Jyväskylä, Finland.
    Affiliations
    Department of Obstetrics and Gynecology II, Helsinki University Central Hospital, Helsinki, Finland

    Department of Obstetrics and Gynecology, Central Finland Central Hospital, Jyväskylä, Finland

    Steroid Research Laboratory, Department of Medical Chemistry, University of Helsinki, Helsinki, Finland

    Isotope Laboratory, Central Finland Central Hospital, Jyväskylä, Finland
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  • Pekka Lähteenmäki
    Affiliations
    Department of Obstetrics and Gynecology II, Helsinki University Central Hospital, Helsinki, Finland

    Department of Obstetrics and Gynecology, Central Finland Central Hospital, Jyväskylä, Finland

    Steroid Research Laboratory, Department of Medical Chemistry, University of Helsinki, Helsinki, Finland

    Isotope Laboratory, Central Finland Central Hospital, Jyväskylä, Finland
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  • Jarmo Toivanen
    Affiliations
    Department of Obstetrics and Gynecology II, Helsinki University Central Hospital, Helsinki, Finland

    Department of Obstetrics and Gynecology, Central Finland Central Hospital, Jyväskylä, Finland

    Steroid Research Laboratory, Department of Medical Chemistry, University of Helsinki, Helsinki, Finland

    Isotope Laboratory, Central Finland Central Hospital, Jyväskylä, Finland
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      Abstract

      Haemodynamic changes during a 3-wk treatment with oestradiol valerianate (2 mg/day orally) were studied in 12 postmenopausal women by isotope 113Inm radiocardiography.
      Systolic blood pressure measured in the supine position decreased during oestradiol treatment by 3% (P < 0.05) and the diastolic blood pressure decreased by 4% (P < 0.01). The heart rate decreased by 15% (P < 0.001).
      Blood volume increased during oestrogen treatment by 5% (P < 0.05) whereas cardiac output decreased by 9% (P < 0.05). Stroke volume increased by 13% (P < 0.001) due to concomitant decrease in heart rate.
      Changes in plasma oestrone and oestradiol concentrations during oestradiol valerianate substitution showed a positive correlation with the changes of blood volume.

      Keywords

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      References

        • Von Eiff A.W.
        • Plotz E.J.
        • Beck K.J.
        • Czernik A.
        The effect of estrogens and progestins on blood pressure regulation of normotensive women.
        Am. J. Obstet. Gynecol. 1971; 109: 887-892
        • Von Eiff A.W.
        Einfuerung zur Problematik der Hypertonie.
        Therapiewoche. 1974; 24: 1713-1714
        • Von Eiff A.W.
        Blood pressure and estrogens.
        in: Estrogens in the postmenopause. Second ed. Frontier of Hormone Research. Vol. 3. Karger, Basel1975: 177-184
        • Lauritzen C.
        Die Therapie des Klimakteriums.
        Therapiewoche. 1974; 24: 5198-5213
        • Spellacy W.N.
        • Birk S.A.
        The effect of intrauterine devices, oral contraceptives, estrogens, and progestogens oral blood pressure.
        Am. J. Obstet. Gynecol. 1972; 112: 912-919
        • Smith R.W.
        Hypertension and oral contraception.
        Am. J. Obstet. Gynecol. 1972; 113: 482-487
        • Clezy T.M.
        • Foy B.N.
        • Hodge R.L.
        • Lumbers E.R.
        Oral contraceptives and hypertension: An epidemiological survey.
        Br. Heart J. 1972; 34: 1238-1243
        • Laragh J.H.
        Oral contraceptive-induced hypertension — nine years later.
        Am. J. Obstet. Gynecol. 1976; 126: 141-147
        • Walters W.A.W.
        • Lim Y.L.
        Haemodynamic changes in women taking oral contraceptives.
        J. Obstet. Gynaecol. Br. Commonw. 1970; 77: 1007-1012
        • Lehtovirta P.
        Haemodynamic effects of combined oestrogen/progestogen oral contraceptives.
        J. Obstet. Gynaecol. Br. Commonw. 1974; 81: 517-525
        • Lehtovirta P.
        • Kuikka J.
        • Rekonen A.
        • Pyörälä T.
        Haemodynamic alterations produced by changes in posture with special reference to the usefulness of isotope 113In radio-cardiography.
        Ann. Clin. Res. 1972; 4: 285-295
        • Kuikka J.
        • Lehtovirta P.
        • Kuikka E.
        • Rekonen A.
        Application of the modified gamma function to the calculation of cardio-pulmonary blood pools in radiocardiography.
        Phys. Med. Biol. 1974; 19: 692-700
        • Edqvist L.-E.
        • Johansson E.D.B.
        Radioimmunoassay of oestrone and oestradiol in human and bovine peripheral plasma.
        Acta Endocrinol. 1972; 71: 716-730
        • Abraham G.E.
        • Swerdloff R.
        • Tulchinsky D.
        • Odell W.D.
        Radioimmunoassay of plasma progesterone.
        J. Clin. Endocrinol. 1971; 32: 619-624
      1. Karonen, S.-L., Lähteenmäki, P., Hohenthal, U. and Adlercreutz, H. (in press) Evaluation of the double antibody-solid phase radioimmunoassay technique in plasma LH and FSH and urinary LH measurements. Scand. J. Clin. Lab. Invest.

        • Von Eiff A.W.
        The role of the autonomic nervous system in the etiology and pathogenesis of essential hypertension.
        Jpn. Circ. J. 1970; 34: 147-153
      2. Luotola, H. (1979) Unpubl. results.

        • Yen S.S.C.
        • Martin P.L.
        • Burnier A.M.
        • Czekala N.M.
        • Greaney Jr., M.O.
        • Callantine R.
        Circulating estradiol, estrone and gonadotropin levels following the administration of orally active 17β-estradiol in postmenopausal women.
        J. Clin. Endocrinol. Metab. 1975; 40: 518-521
        • Englund D.E.
        • Johansson E.D.B.
        Pharmacokinetic and pharmacodynamic studies on oestradiol valerianate administered orally to postmenopausal women.
        Acta Obstet. Gynecol. Scand. 1977; : 27-31
        • LarssonCohn U.
        • Johansson E.D.B.
        • Kágedal B.
        • Wallentin L.
        Serum FSH, LH and oestrone levels in postmenopausal patients on oestrogen therapy.
        Br. J. Obstet. Gynaecol. 1977; 85: 367-372