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HEART HEALTH AND ORAL CONTRACEPTIVES
RISK FACTORS FOR YOUNG WOMEN Women who have no other risk factors for cardiovascular disease (example: smoking, high blood pressure, or diabetes) are at a very low, if any, additional risk of heart attack from the use of oral contraceptive pills, according to a new study from the UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP).
Dr Giuseppe Benagiano, Director of HRP, said that, "This study is very important because it gives us for the 1st time reliable data on the risk of heart attack in contraceptive pill users in third world countries. It confirms that young women in both developed and developing countries who have no other predisposing risk factors for cardiovascular disease can use the pill safely." The results will be published in the British medical journal The Lancet, the study found, however, that the risk of heart attack rises significantly in contraceptive pill users over thirty-five years of age if they smoke or have high blood pressure. |
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| The overall relative risk of heart attack for all pill users of all ages in the study was increased if they smoked or if they had high blood pressure. In contraceptive pill users who smoked ten or more cigarettes a day, the relative risk of heart attack in the study was more than 20 times higher than in women who did not smoke or did not use the pill. In the case of pill users with a history of high blood pressure, including during pregnancy, the overall relative risk of heart attack was found to be 10 times higher than in those who did not have high blood pressure or did not use the pill. These findings were similar in both developed and developing countries. |
It should be noted however, that heart attack is very rare in women who are less than 35, but its incidence increases steadily after that age.
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