Abstract
Between January 1970 and December 1972 22 women aged between 31 and 45 years were admitted to the coronary care unit with acute myocardial infarction and six of these (27%) had been taking oral contraceptives. There were nine women aged 40 or less and five of them (55%) had been on oral contraceptives while three of the other four had been sterilized by tubal interruption.
Both these figures of prevalence of oral contraceptive use are significantly greater than estimates for the general population of women of similar age. For those aged 30-44 years, current estimates suggest that it is between 8 and 11%.
All the women in this study had risk factors recognized as being associated with the premature development of ischaemic heart disease, and the prevalence of these risk factors was similar in those taking oral contraceptives as in those not doing so. Oral contraceptives probably enhance the chance of developing myocardial infarction in women whose risk is increased for other reasons.
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- BOYCE J., FAWCETT J. W., NOALL E. W. Coronary thrombosis and Conovide. Lancet. 1963 Jan 12;1(7272):111–111. doi: 10.1016/s0140-6736(63)91117-6. [DOI] [PubMed] [Google Scholar]
- Briggs E., Mack A., Taylor L., Browning J., Naismith L., Wilson E., Weir R. J. Blood-pressure in women after one year of oral contraception. Lancet. 1971 Mar 6;1(7697):467–470. doi: 10.1016/s0140-6736(71)91087-7. [DOI] [PubMed] [Google Scholar]
- DOLL R., HILL A. B. MORTALITY IN RELATION TO SMOKING: TEN YEARS' OBSERVATIONS OF BRITISH DOCTORS. Br Med J. 1964 May 30;1(5395):1399–1410. doi: 10.1136/bmj.1.5395.1399. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dear H. D., Jones W. B. Myocardial infarction associated with the use of oral contraceptives. Ann Intern Med. 1971 Feb;74(2):236–239. doi: 10.7326/0003-4819-74-2-236. [DOI] [PubMed] [Google Scholar]
- Fischer A., Mosbech J. Mortaliteten af koronarokklusion hos yngre kvinder med henblik på p-pillen som en mulig aetiologisk faktor. Ugeskr Laeger. 1970 Dec 24;132(52):2480–2482. [PubMed] [Google Scholar]
- Kay C. R., Smith A., Richards B. Smoking habits of oral contraceptive users. Lancet. 1969 Dec 6;2(7632):1228–1229. doi: 10.1016/s0140-6736(69)90756-9. [DOI] [PubMed] [Google Scholar]
- Laragh J. H., Sealey J. E., Ledingham J. G., Newton M. A. Oral contraceptives. Renin, aldosterone, and high blood pressure. JAMA. 1967 Sep 18;201(12):918–922. doi: 10.1001/jama.201.12.918. [DOI] [PubMed] [Google Scholar]
- NAYSMITH J. H. ORAL CONTRACEPTIVES AND CORONARY THROMBOSIS. Br Med J. 1965 Jan 23;1(5429):250–250. doi: 10.1136/bmj.1.5429.250-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- OLIVER M. F., BOYD G. S. Effect of bilateral ovariectomy on coronary-artery disease and serum-lipid levels. Lancet. 1959 Oct 31;2(7105):690–694. doi: 10.1016/s0140-6736(59)92129-4. [DOI] [PubMed] [Google Scholar]
- Oliver M. F. Oral contraceptives and myocardial infarction. Br Med J. 1970 Apr 25;2(5703):210–213. doi: 10.1136/bmj.2.5703.210. [DOI] [PMC free article] [PubMed] [Google Scholar]
- ROBINSON R. W., HIGANO N., COHEN W. D. Increased incidence of coronary heart disease in women castrated prior to the menopause. Arch Intern Med. 1959 Dec;104:908–913. doi: 10.1001/archinte.1959.00270120064010. [DOI] [PubMed] [Google Scholar]
- Scharf J., Nahir A. M., Peled B., Asad A. Oral contraceptives and myocardial infarction. Lancet. 1968 Aug 17;2(7564):411–412. doi: 10.1016/s0140-6736(68)90636-3. [DOI] [PubMed] [Google Scholar]
- THOMAS C. B., COHEN B. H. The familial occurrence of hypertension and coronary artery disease, with observations concerning obesity and diabetes. Ann Intern Med. 1955 Jan;42(1):90–127. doi: 10.7326/0003-4819-42-1-90. [DOI] [PubMed] [Google Scholar]
- Truett J., Cornfield J., Kannel W. A multivariate analysis of the risk of coronary heart disease in Framingham. J Chronic Dis. 1967 Jul;20(7):511–524. doi: 10.1016/0021-9681(67)90082-3. [DOI] [PubMed] [Google Scholar]
- WUEST J. H., Jr, DRY T. J., EDWARDS J. E. The degree of coronary atherosclerosis in bilaterally oophorectomized women. Circulation. 1953 Jun;7(6):801–809. doi: 10.1161/01.cir.7.6.801. [DOI] [PubMed] [Google Scholar]
- Waxler E. B., Kimbiris D., Van den Broek H., Segal B. L., Likoff W. Myocardial infarction and oral contraceptive agents. Am J Cardiol. 1971 Jul;28(1):96–101. doi: 10.1016/0002-9149(71)90039-7. [DOI] [PubMed] [Google Scholar]
- Woods J. W. Oral contraceptives and hypertension. Lancet. 1967 Sep 23;2(7517):653–653. doi: 10.1016/s0140-6736(67)90690-3. [DOI] [PubMed] [Google Scholar]
- Wynn V., Mills G. L., Doar J. W., Stokes T. Fasting serum triglyceride, cholesterol, and lipoprotein levels during oral-contraceptive therapy. Lancet. 1969 Oct 11;2(7624):756–760. doi: 10.1016/s0140-6736(69)90476-0. [DOI] [PubMed] [Google Scholar]