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Pulmonary Thromboembolism in Healthy Woman Taking Oral Contraceptives: Case Report

Year 2014, - Supplement Issue of Cases - 2014, 21 - 23, 24.09.2014
https://doi.org/10.17098/amj.33725

Abstract

Pulmonary thromboembolism is as a result of complete or partial obstruction of the pulmonary arteries and is a serious cardiopulmonary disease which can be fatal. Pulmonary thrombi most frequently occur in deep femoral veins. Taking oral contraceptives increases the risk of pulmonary thromboembolism. If a patient has a hereditary prothrombic factor, the risk of pulmonary embolism is much more higher. We know that there is an interaction among oral contraceptive drugs, hematological system and cardiovascular system. We here present a 37-year old healthy woman who has been taking oral contraceptives for nearly a year and who came with shortness of breath.

References

  • Palevsky HL, Kelly MA, Fishman AP. Pulmonary thromboembolic disease. In: Fishman AP, ed. Fishman’s Pulmonary Diseases and Disorders. 3rd ed. New York: Mc Graw-Hill; 1998:1297-329.
  • Wagenvoort CA. Pathology of pulmonary thromboembolism. Chest 1995;107:10-7.
  • Saygıner A. Akciğer embolizmi. İliçin G, Ünal S, Biberoğlu K, Akalın S, Süleymanlar G, eds. Temel İç Hastalıkları. Ankara: Güneş Tıp;1996:538-43.
  • Poulter NR, Chang CL, Farley TM, Meirik O, Marmot MG. Venous thromboembolic disease and combined oral contraceptives: results of international multicentre case-control study. World Health Organization Collaborative Study of Cardiovascular Disease and Steroid Hormone Contraception. Lancet, 1995;346(8990):1575-82.
  • Carr BR, Ory H. Estrogen and progestin components of oral contraceptives: relationship to vascular disease. Contraception 1997; 55(5): 267-272.
  • Black A, Francoeur D, Rowe T. Canadian Contraception Consensus. SOGC Clinical Practice Guidelines. J Obstet Gynaecol Can 2004;26(3):219-254.
  • Rosenberg MJ, Meyers A, Roy V. Efficacy, cycle control, and side effects of low and lowerdose oral contraceptives: a randomized trial of 20 mcg and 35 mcg estrogen preparations. Contraception 1999;60(6):321-329.
  • Rosenberg MJ, Waugh MS. Oral contraceptive discontinuation: a prospective evaluation of frequency and reasons. Am J Obstet Gynecol 1998;179(3):577-582.
  • Hylckama V, Helmerhorst F, Vandenbroucke J, Doggen C, Rosendaal F. The venous thrombotic risk of oral contraceptives, effects of oestrogen dose and progestogen type: results of the MEGA case control study. BMJ 2009;339:b2921 ( doi: http:// dx.doi.org/10.1136/bmj.b2921).
  • Palla A, Petruzelli S, Donnamaria V, Giuntini C. The role of suspicion in the diagnosis of pulmonary embolism. Chest1995;107(suppl 1):21S-24S.
  • Yazışma Adresi / Correspondence Dr. İsmail Arslan Ankara Eğitim ve Araştırma Hastanesi Aile Hekimliği Kliniği e-posta: ismailarslan@doctor.com Geliş Tarihi:18.03.2014 Kabul Tarihi:13.07.2014 23 Ankara Medical Journal, Cilt 14, Ek Sayı 1, 2014

Oral Kontraseptif Kullanan Sağlıklı Kadında Pulmoner Tromboemboli: Vaka Sunumu

Year 2014, - Supplement Issue of Cases - 2014, 21 - 23, 24.09.2014
https://doi.org/10.17098/amj.33725

Abstract

Özet

Pulmoner emboli, pulmoner arteryel yatağın tam veya kısmi tıkanması sonucu meydana gelen ve hayatı tehdit edebilen ciddi bir kardiyopulmoner hastalıktır. Akciğere ulaşan trombüsler en sık derin femoral venlerde oluşan ve sonrasında koparak venöz sisteme dahil olan trombüslerdir. Oral kontraseptif kullanımı pulmoner tromboemboli riskini artırır. Eğer hastada kalıtsal protrombik faktör var ise pulmoner emboli riski daha da fazladır. Oral kontraseptif ilaçlarla kardiyovasküler sistem ve hematolojik sistem arasında etkileşim olduğunu bilmekteyiz. Bu olgumuzda daha öncesinde sağlıklı olan ve yaklaşık bir yıldır oral kontraseptif kullanan 37 yaşında nefes darlığıyla başvuran hastayı sunduk.

References

  • Palevsky HL, Kelly MA, Fishman AP. Pulmonary thromboembolic disease. In: Fishman AP, ed. Fishman’s Pulmonary Diseases and Disorders. 3rd ed. New York: Mc Graw-Hill; 1998:1297-329.
  • Wagenvoort CA. Pathology of pulmonary thromboembolism. Chest 1995;107:10-7.
  • Saygıner A. Akciğer embolizmi. İliçin G, Ünal S, Biberoğlu K, Akalın S, Süleymanlar G, eds. Temel İç Hastalıkları. Ankara: Güneş Tıp;1996:538-43.
  • Poulter NR, Chang CL, Farley TM, Meirik O, Marmot MG. Venous thromboembolic disease and combined oral contraceptives: results of international multicentre case-control study. World Health Organization Collaborative Study of Cardiovascular Disease and Steroid Hormone Contraception. Lancet, 1995;346(8990):1575-82.
  • Carr BR, Ory H. Estrogen and progestin components of oral contraceptives: relationship to vascular disease. Contraception 1997; 55(5): 267-272.
  • Black A, Francoeur D, Rowe T. Canadian Contraception Consensus. SOGC Clinical Practice Guidelines. J Obstet Gynaecol Can 2004;26(3):219-254.
  • Rosenberg MJ, Meyers A, Roy V. Efficacy, cycle control, and side effects of low and lowerdose oral contraceptives: a randomized trial of 20 mcg and 35 mcg estrogen preparations. Contraception 1999;60(6):321-329.
  • Rosenberg MJ, Waugh MS. Oral contraceptive discontinuation: a prospective evaluation of frequency and reasons. Am J Obstet Gynecol 1998;179(3):577-582.
  • Hylckama V, Helmerhorst F, Vandenbroucke J, Doggen C, Rosendaal F. The venous thrombotic risk of oral contraceptives, effects of oestrogen dose and progestogen type: results of the MEGA case control study. BMJ 2009;339:b2921 ( doi: http:// dx.doi.org/10.1136/bmj.b2921).
  • Palla A, Petruzelli S, Donnamaria V, Giuntini C. The role of suspicion in the diagnosis of pulmonary embolism. Chest1995;107(suppl 1):21S-24S.
  • Yazışma Adresi / Correspondence Dr. İsmail Arslan Ankara Eğitim ve Araştırma Hastanesi Aile Hekimliği Kliniği e-posta: ismailarslan@doctor.com Geliş Tarihi:18.03.2014 Kabul Tarihi:13.07.2014 23 Ankara Medical Journal, Cilt 14, Ek Sayı 1, 2014
There are 11 citations in total.

Details

Primary Language Turkish
Journal Section Case Reports
Authors

Merve Kadiroğlu This is me

Adil Çetin This is me

İsmail Arslan This is me

Gül Gürsoy This is me

Oğuz Tekin This is me

Publication Date September 24, 2014
Published in Issue Year 2014 - Supplement Issue of Cases - 2014

Cite

APA Kadiroğlu, M., Çetin, A., Arslan, İ., Gürsoy, G., et al. (2014). Oral Kontraseptif Kullanan Sağlıklı Kadında Pulmoner Tromboemboli: Vaka Sunumu. Ankara Medical Journal21-23. https://doi.org/10.17098/amj.33725
AMA Kadiroğlu M, Çetin A, Arslan İ, Gürsoy G, Tekin O. Oral Kontraseptif Kullanan Sağlıklı Kadında Pulmoner Tromboemboli: Vaka Sunumu. Ankara Med J. Published online September 1, 2014:21-23. doi:10.17098/amj.33725
Chicago Kadiroğlu, Merve, Adil Çetin, İsmail Arslan, Gül Gürsoy, and Oğuz Tekin. “Oral Kontraseptif Kullanan Sağlıklı Kadında Pulmoner Tromboemboli: Vaka Sunumu”. Ankara Medical Journal, September (September 2014), 21-23. https://doi.org/10.17098/amj.33725.
EndNote Kadiroğlu M, Çetin A, Arslan İ, Gürsoy G, Tekin O (September 1, 2014) Oral Kontraseptif Kullanan Sağlıklı Kadında Pulmoner Tromboemboli: Vaka Sunumu. Ankara Medical Journal 21–23.
IEEE M. Kadiroğlu, A. Çetin, İ. Arslan, G. Gürsoy, and O. Tekin, “Oral Kontraseptif Kullanan Sağlıklı Kadında Pulmoner Tromboemboli: Vaka Sunumu”, Ankara Med J, pp. 21–23, September 2014, doi: 10.17098/amj.33725.
ISNAD Kadiroğlu, Merve et al. “Oral Kontraseptif Kullanan Sağlıklı Kadında Pulmoner Tromboemboli: Vaka Sunumu”. Ankara Medical Journal. September 2014. 21-23. https://doi.org/10.17098/amj.33725.
JAMA Kadiroğlu M, Çetin A, Arslan İ, Gürsoy G, Tekin O. Oral Kontraseptif Kullanan Sağlıklı Kadında Pulmoner Tromboemboli: Vaka Sunumu. Ankara Med J. 2014;:21–23.
MLA Kadiroğlu, Merve et al. “Oral Kontraseptif Kullanan Sağlıklı Kadında Pulmoner Tromboemboli: Vaka Sunumu”. Ankara Medical Journal, 2014, pp. 21-23, doi:10.17098/amj.33725.
Vancouver Kadiroğlu M, Çetin A, Arslan İ, Gürsoy G, Tekin O. Oral Kontraseptif Kullanan Sağlıklı Kadında Pulmoner Tromboemboli: Vaka Sunumu. Ankara Med J. 2014:21-3.