The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.
Postmenopausal Estrogen Use, Cigarette Smoking, and Cardiovascular Morbidity in Women over 50: The Framingham Study
Abstract
We studied the effect of estrogen use on morbidity from cardiovascular disease in 1234 postmenopausal women, aged 50 to 83 years, participating in the Framingham Heart Study's 12th biennial examination (index examination). The medication history recorded at biennial examinations 8 through 12 was used to classify the degree of estrogen exposure before eight years of observation for cardiovascular morbidity and mortality. Despite a favorable cardiovascular risk profile and control for the major known risk factors for heart disease, women reporting postmenopausal estrogen use at one or more examinations had over a 50 per cent elevated risk of cardiovascular morbidity (P less than 0.01) and more than a twofold risk for cerebrovascular disease (P less than 0.01) after the index examination. Increased rates for myocardial infarction (P less than 0.05) were observed particularly among the estrogen users who smoked cigarettes. Conversely, among nonsmokers estrogen use was associated only with an increased incidence of stroke (P less than 0.05). No benefits from estrogen use were observed in the study group; in particular, mortality from all causes and from cardiovascular disease did not differ for estrogen users and nonusers.
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Cites
Abell, L. L., Levy, B. B., Brodie, B. B., & Kendall, F. E. (1952) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(19)50907-3 · Cited by 3,086
Estimation of the probability of an event as a function of several independent variables
WALKER, S. H., & DUNCAN, D. B. (1967) · Biometrika · doi:10.1093/biomet/54.1-2.167 · Cited by 1,682
Incidence and Prognosis of Unrecognized Myocardial Infarction: An Update on the Framingham Study
Kannel, W. B., & Abbott, R. D. (1984) · New England Journal of Medicine · doi:10.1056/nejm198411013111802 · Cited by 1,018
Menopause and Coronary Heart Disease: The Framingham Study
GORDON, T., KANNEL, W. B., HJORTLAND, M. C., & McNAMARA, P. M. (1978) · Annals of Internal Medicine · doi:10.7326/0003-4819-89-2-157 · Cited by 888
Oral Contraceptives and Cardiovascular Disease
Stadel, B. V. (1981) · New England Journal of Medicine · doi:10.1056/nejm198109103051104 · Cited by 494
MENOPAUSAL OESTROGEN THERAPY AND PROTECTION FROM DEATH FROM ISCHAEMIC HEART DISEASE
Ross, R., Mack, T., Paganini-Hill, A., Arthur, M., & Henderson, B. (1981) · The Lancet · doi:10.1016/s0140-6736(81)92138-3 · Cited by 356
The Effect of Estrogen Dose on Postmenopausal Bone Loss
Horsman, A., Jones, M., Francis, R., & Nordin, C. (1983) · New England Journal of Medicine · doi:10.1056/nejm198312083092301 · Cited by 214
USE OF ORAL CONTRACEPTIVES, CIGARETTE SMOKING, AND RISK OF SUBARACHNOID HÆMORRHAGE
Petitti, D., & Wingerd, J. (1978) · The Lancet · doi:10.1016/s0140-6736(78)91745-2 · Cited by 195
CARDIOVASCULAR-DISEASE MORTALITY TRENDS AND ORAL-CONTRACEPTIVE USE IN YOUNG WOMEN
Beral, V. (1976) · The Lancet · doi:10.1016/s0140-6736(76)90966-1 · Cited by 172
Myocardial Infarction and Estrogen Therapy in Post-Menopausal Women
Rosenberg, L., Armstrong, B., & Jick, H. (1976) · New England Journal of Medicine · doi:10.1056/nejm197606032942302 · Cited by 168
Cited by
Prediction of coronary heart disease using risk factor categories
Wilson, P. W. F., D’Agostino, R. B., Levy, D., Belanger, A. M., Silbershatz, H., & Kannel, W. B. (1998) · Circulation · doi:10.1161/01.cir.97.18.1837 · Cited by 9,581
Self-citationRiggs, B. L., & Melton, L. J. (1986) · New England Journal of Medicine · doi:10.1056/nejm198606263142605 · Cited by 1,915
Postmenopausal Hormone Replacement Therapy: Scientific Review
Nelson, H. D., Humphrey, L. L., Nygren, P., Teutsch, S. M., & Allan, J. D. (2002) · JAMA · doi:10.1001/jama.288.7.872 · Cited by 990
Biller, J., Feinberg, W. M., Castaldo, J. E., Whittemore, A. D., Harbaugh, R. E., Dempsey, R. J., Caplan, L. R., Kresowik, T. F., Matchar, D. B., Toole, J. F., et al. (1998) · Stroke · doi:10.1161/01.str.29.2.554 · Cited by 658
Decreased Mortality in Users of Estrogen Replacement Therapy
Henderson, B. E. (1991) · Archives of Internal Medicine · doi:10.1001/archinte.1991.00400010095012 · Cited by 632
Metadata
- Authors
- Wilson, P. W. F., Garrison, R. J., & Castelli, W. P.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1985-10-24
- Volume
- 313
- Issue
- 17
- Pages
- 1038-1043
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2341031326
- Cited by
- 601
- References
- 18
- FWCI
- 22.61
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Postmenopausal Estrogen Use, Cigarette Smoking, and Cardiovascular Morbidity in Women over 50: The Framingham Study. https://app.cochat.ai/papers/10.1056/nejm198510243131702
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- Wilson, P. W. F., Garrison, R. J., & Castelli, W. P. (1985). Postmenopausal Estrogen Use, Cigarette Smoking, and Cardiovascular Morbidity in Women over 50: The Framingham Study. New England Journal of Medicine. https://doi.org/10.1056/nejm198510243131702
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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