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    Cardiac issues
    AJF52 posted:
    I have a family history of atrial fib. My mother and grandmother had it as well a few female cousins. None of us had symptoms until after we start menopause. My mother's was very disturbing. My symptoms are not as bad but it is getting worse. I have been under a cardiologist care since 2007 when I was hospitalized after a particularly bad a fib event. In researching a fib after that event, I learned it may be connected to menopause. Neither of the cardiologists have talked to me about this. I was wondering about the estrogen treatment you mentioned. Could this be helpful to me?
    Mary Jane Minkin, MD responded:
    Dear AJF52,
    Good question. There is no specific data on the a fib being related to menopause; it does tend to become more of an issue as we get older. However, there are many women who experience palpitations as they go through menopause (sort of a part of the hot flash experience)-and for some women estrogen therapy seems to help with women who experience these palpitations. In view of the a fib, if you were to go on hormone therapy, I would think your cardiologist would want you on a low dose transdermal estrogen, to minimize the risk of blood clots. So it certainly would be reasonable to discuss, but this decision would require some input from your cardiologist, as well.

    Good luck,
    Mary Jane

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