Table 3.
MENOPAUSAL PHASE† | LQT1 WOMEN | LQT2 WOMEN | ||
---|---|---|---|---|
Hazard Ratio (95% Confidence Interval) | P value | Hazard Ratio (95% Confidence Interval) | P value | |
Post-menopause vs. pre-menopause risk by treatment with estrogen therapy† | ||||
Post-menopause without estrogen HRT vs. reproductive period |
0.20 (0.02 - 2.08) |
0.18 | 7.73 (2.22 - 26.93) |
<0.001 |
Post-menopause with estrogen HRT vs. reproductive period |
0.46 (0.07 - 3.07) |
0.42 | 5.10 (1.62-15.97) |
<0.001 |
Beta-blocker effect† | ||||
Beta-blocker- vs, no beta-blocker-therapy | 0.40 (0.17 - 0.87) |
0.02 | 0.51 (0.29 - 0.89) |
0.02 |
Multivariate analysis was carried out using combined PWP and Anderson-Gill modeling, with the menopausal periods and therapies assessed as time-dependent covariates in the multivariate models; findings are adjusted time-dependent beta-blocker therapy and QTc (assessed as a continuous measure); similar results were obtained in a secondary analysis that included further adjustment for time-dependent comorbidities (including diabetes mellitus, smoking status, prior myocardial infarction, and the presence of angina pectoris).
Estrogen therapy during the postmenopausal phase was assessed as a time-dependent covariate; the effects of progesterone therapy and of estrogen therapy during the transitional phases were not assessed due to sample size limitations.