Simultaneous total occlusion of two coronary arteries associated with use of drospirenone-ethinyl estradiol (oral contraceptive)
Although the use of oral contraceptives is associated with an increased risk of venous thromboembolic disease, the risk of myocardial infarction (MI) is unclear. A new, third-generation contraceptive agent, drospirenone-ethinyl estradiol, which contains less estrogen and a new progestogen, drospiren...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
KARE Publishing
2018-01-01
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| Series: | Türk Kardiyoloji Derneği Arşivi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-57606 |
| _version_ | 1828025553865670656 |
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| author | Hüsnü Atmaca Diyar Köprülü Tuncay Kiriş Gönül Zeren İrfan Şahin |
| author_facet | Hüsnü Atmaca Diyar Köprülü Tuncay Kiriş Gönül Zeren İrfan Şahin |
| author_sort | Hüsnü Atmaca |
| collection | DOAJ |
| description | Although the use of oral contraceptives is associated with an increased risk of venous thromboembolic disease, the risk of myocardial infarction (MI) is unclear. A new, third-generation contraceptive agent, drospirenone-ethinyl estradiol, which contains less estrogen and a new progestogen, drospirenone, in a different combination, has been considered more reliable in terms of risk of MI. However, there have been some cases of MI associated with the use of drospirenone-ethinyl estradiol, despite the protective effects of this oral contraceptive. In this report, a 33-year-old woman who had used drospirenone-ethinyl estradiol for 6 months was admitted with MI and symptoms of cardiogenic shock. Coronary angiography revealed the total occlusion of 2 coronary arteries and so percutaneous coronary intervention was performed. To the best of our knowledge, this is the first case report of simultaneous total occlusion of 2 coronary arteries associated with the use of drospirenone-ethinyl estradiol in the English-language medical literature. |
| first_indexed | 2024-04-10T13:02:51Z |
| format | Article |
| id | doaj.art-94e4d44cac9446088b7a4a081844607b |
| institution | Directory Open Access Journal |
| issn | 1016-5169 |
| language | English |
| last_indexed | 2024-04-10T13:02:51Z |
| publishDate | 2018-01-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Türk Kardiyoloji Derneği Arşivi |
| spelling | doaj.art-94e4d44cac9446088b7a4a081844607b2023-02-15T16:13:05ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692018-01-01461697210.5543/tkda.2017.57606TKDA-57606Simultaneous total occlusion of two coronary arteries associated with use of drospirenone-ethinyl estradiol (oral contraceptive)Hüsnü Atmaca0Diyar Köprülü1Tuncay Kiriş2Gönül Zeren3İrfan Şahin4Department of Cardiology, Ordu State Hospital, Ordu, TurkeyDepartment of Cardiology, Ordu State Hospital, Ordu, TurkeyDepartment of Cardiology, Ordu State Hospital, Ordu, TurkeyDepartment of Cardiology, Ordu State Hospital, Ordu, TurkeyDepartment of Cardiology, Bağcılar Training and Research Hospital, İstanbul, TurkeyAlthough the use of oral contraceptives is associated with an increased risk of venous thromboembolic disease, the risk of myocardial infarction (MI) is unclear. A new, third-generation contraceptive agent, drospirenone-ethinyl estradiol, which contains less estrogen and a new progestogen, drospirenone, in a different combination, has been considered more reliable in terms of risk of MI. However, there have been some cases of MI associated with the use of drospirenone-ethinyl estradiol, despite the protective effects of this oral contraceptive. In this report, a 33-year-old woman who had used drospirenone-ethinyl estradiol for 6 months was admitted with MI and symptoms of cardiogenic shock. Coronary angiography revealed the total occlusion of 2 coronary arteries and so percutaneous coronary intervention was performed. To the best of our knowledge, this is the first case report of simultaneous total occlusion of 2 coronary arteries associated with the use of drospirenone-ethinyl estradiol in the English-language medical literature.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-57606cardiogenic shockdrospirenone-ethinyl estradiol; myocardial infarction; oral contraceptives. |
| spellingShingle | Hüsnü Atmaca Diyar Köprülü Tuncay Kiriş Gönül Zeren İrfan Şahin Simultaneous total occlusion of two coronary arteries associated with use of drospirenone-ethinyl estradiol (oral contraceptive) Türk Kardiyoloji Derneği Arşivi cardiogenic shock drospirenone-ethinyl estradiol; myocardial infarction; oral contraceptives. |
| title | Simultaneous total occlusion of two coronary arteries associated with use of drospirenone-ethinyl estradiol (oral contraceptive) |
| title_full | Simultaneous total occlusion of two coronary arteries associated with use of drospirenone-ethinyl estradiol (oral contraceptive) |
| title_fullStr | Simultaneous total occlusion of two coronary arteries associated with use of drospirenone-ethinyl estradiol (oral contraceptive) |
| title_full_unstemmed | Simultaneous total occlusion of two coronary arteries associated with use of drospirenone-ethinyl estradiol (oral contraceptive) |
| title_short | Simultaneous total occlusion of two coronary arteries associated with use of drospirenone-ethinyl estradiol (oral contraceptive) |
| title_sort | simultaneous total occlusion of two coronary arteries associated with use of drospirenone ethinyl estradiol oral contraceptive |
| topic | cardiogenic shock drospirenone-ethinyl estradiol; myocardial infarction; oral contraceptives. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-57606 |
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