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Uso de contraceptivos em portadoras de cardiopatia / Contraceptive use in women with heart disease
Avila, Walkiria Samuel; Grinberg, Max; Melo, Nilson Roberto; Aristodemo Pinotti, Jose; Pileggi, Fulvio.
  • Avila, Walkiria Samuel; Universidade de São Paulo. Instituto do Coração do Hospital das Clínicas. São Paulo. BR
  • Grinberg, Max; Universidade de São Paulo. Instituto do Coração do Hospital das Clínicas. São Paulo. BR
  • Melo, Nilson Roberto; Universidade de São Paulo. Instituto do Coração do Hospital das Clínicas. São Paulo. BR
  • Aristodemo Pinotti, Jose; Universidade de São Paulo. Instituto do Coração do Hospital das Clínicas. São Paulo. BR
  • Pileggi, Fulvio; Universidade de São Paulo. Instituto do Coração do Hospital das Clínicas. São Paulo. BR
Arq. bras. cardiol ; 66(4): 205-211, Abr. 1996. ilus, tab
Article in Portuguese | LILACS | ID: lil-319292
RESUMO

PURPOSE:

To analyse efficacy, tolerance and adverse events of reversible contraceptives in women with cardiac disease.

METHODS:

We studied prospectively during 24-39 (mean = 29) months, 89 women with heart disease with a mean age of 25.6 (16-42) years. Rheumatic heart disease was present in 73 (82) cases, congenital heart disease in 11 (11), coronary artery disease in 2 (2) and cardiomyopathy in 3 (3) case. The patients were divided in three groups GCO--35 patients taking combined oral contraceptives (30 micrograms ethinyl estradiol and 75 micrograms gestodene--COs); GIT--27 using injectable progestagens (depot medroxyprogesterone acetate-DMPA) and GUID--27 with intrauterine device (IUD).

RESULTS:

In GCO occurred 4 (11.4) cases of arterial hypertension, 1 (2.8) of a transient cerebral isquemic attack, 3 (8.5) of spotting, 1 (2.8) of amnorrhea e 1 (2.8) pregnancy. Interruption of this method occurred in 4 (11.4) cases due to hypertension (2), pregnancy (1) and amenorrhea (1). In group GIT there were 2 (7.4) cases of arterial hypertension, 18 (66.6) of amenorrhea, and 3 (11.1) of spotting. Interruption of use occurred in 5 (18.5) due to amnorrhea (2), weight gain (2) and headache (1). In GUID there was 1 (3.7) case of infeccion, 1 (3.7) pregnancy and 1 (3.7) spontaneous expulsion of IUD. Interruption of use took place in 3 (11.1) cases due to infeccion, pregnancy and expulsion. The comparation between the groups demonstrated a difference in the incidence of amenorrhea (p < 0.005) and descontinuation of use of the method (p < 0.025).

CONCLUSION:

Use of reversible contraceptives in heart disease women was associated with an acceptable cardiovascular risk. Efficacy and side effects of the methods were comparable in the groups, however intolerance was more observed in GIT
ABSTRACT
Purpose - To analyse efficacy, tolerance and adverse events of reversible contraceptives in women with cardiac disease. Methods - We studied prospectively during 24-39 (mean=29) months, 89 women with heart disease with a mean age of 25.6 (16-42) years. Rheumatic heart disease was present in 73 (82%) cases, congenital heart disease in 11 (11%), coronary artery disease in 2 (2%) and cardiomyopathy in 3 (3%) case. The patients were divided in three groups GCO - 35 patients taking combined oral contraceptives (30 micrograms ethinyl estradiol and 75 micrograms gestodene - COs); GIT - 27 using injectable progestagens (depot medroxyprogesterone acetate-DMPA) and GUID - 27 with intrauterine device (IUD). Results - In GCO occurred 4 (11.4%) cases of arterial hypertension, 1 (2.8%) of a transient cerebral isquemic atack, 3 (8.5%) of spotting, 1 (2.8%) of amnorrhea e 1 (2.8%) pregnancy. Interruption of this method occurred in 4 (11.4%) cases due to hypertension (2), pregnancy (1) and amenorrhea (1). In group GIT there were 2 (7.4%) cases of arterial hypertension, 18 (66.6%) of amenorrhea, and 3 (11.1%) of spotting. Interruption of use occurred in 5 (18.5%) due to amnorrhea (2), weight gain (2) and headache (1). In GUID there was 1 (3.7%) case of infeccion, 1 (3.7%) pregnancy and 1 (3.7%) spontaneous expulsion of IUD. Interruption of use took place in 3 (11.1%) cases due to infeccion, pregnancy and expulsion. The comparation between the groups demonstrated a difference in the incidence of amenorrhea (p<0.005) and descontinuation of use of the method (p<0.025) Conclusion - Use of reversible contraceptives in heart disease women was associated with an acceptable cardiovascular risk. Efficacy and side effects of the methods were comparable in the groups, however intolerance was more observed in GIT
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Contraceptives, Oral, Hormonal / Heart Diseases / Intrauterine Devices Type of study: Observational study / Prognostic study / Risk factors Limits: Adolescent / Adult / Female / Humans / Pregnancy Language: Portuguese Journal: Arq. bras. cardiol Journal subject: Cardiology Year: 1996 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Contraceptives, Oral, Hormonal / Heart Diseases / Intrauterine Devices Type of study: Observational study / Prognostic study / Risk factors Limits: Adolescent / Adult / Female / Humans / Pregnancy Language: Portuguese Journal: Arq. bras. cardiol Journal subject: Cardiology Year: 1996 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade de São Paulo/BR