Cardiac and neurologic complications in malignant hypertension due to oral contraceptive use.
Malignant hypertension is a rare consequence of contraceptive use. We report here on two young women with malignant hypertension secondary to contraceptive use whose main symptomatology was neurological. Both patients had renal failure, severe left ventricle hypertrophy, and hemorrhagic stroke, all reversible after control of blood pressure and discontinuation of the contraceptive pill.
Bortolotto
L A
LA
Hypertension Unit Heart Institute, São Paulo, Brazil.
Silva
H B
HB
Pileggi
F
F
D058186:Acute Kidney Injury / Q000209:etiology*; D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D002543:Cerebral Hemorrhage / Q000209:etiology*; D003907:Dexamethasone / Q000627:therapeutic use; D004997:Ethinyl Estradiol / Q000009:adverse effects*; D005260:Female; D006261:Headache / Q000209:etiology; D006423:Hemianopsia / Q000209:etiology; D006801:Humans; D006974:Hypertension, Malignant / Q000139:chemically induced* / Q000150:complications; D017379:Hypertrophy, Left Ventricular / Q000209:etiology*; D016912:Levonorgestrel / Q000009:adverse effects*; D012640:Seizures / Q000209:etiology
D000959:Antihypertensive Agents; D004997:Ethinyl Estradiol; D016912:Levonorgestrel; D003907:Dexamethasone