HRT and Myocardial Infarction (Heart attack).

The British Menopause Society announced a new guidance document for clinicians today which gives hope and reassurance to those women affected by myocardial infarction (heart attack).

In summary the guidance states that for women who are taking hormone replacement therapy (HRT) and experience a heart attack, it doesn’t necessarily mean they have to stop taking it altogether. If a woman has had a heart attack and then needs HRT, it can still be considered.

However the choice of HRT is important:-

– The initial dose of HRT is crucial and should be tailored to the individual’s age.
– The type of progestogen used in HRT may matter, and it’s often better to choose non-androgenic progestogens.
– How the oestrogen is administered can also be significant. For those with concerns about blood clot risks, non-oral methods of administration are preferred.
– Taking a statin alongside HRT might provide additional benefits.
– It’s recommended to seek guidance and supervision from a specialized menopause clinic to ensure the safest and most effective use of HRT.

21-BMS-TfC-HRT-after-myocardial-infarction-MARCH2024-A.pdf (thebms.org.uk)