title: [Pulmonary thromboembolism in primary care].
abstract: The Primary Care physician must know the risk factors and to suspect the presence of a pulmonary thromboembolism (PTE) when there is a compatible clinical picture. We present two cases of a massive PTE in young healthy women in whom the taking of ethinylestradiol combined with cyproterone acetate was the only existing risk factor. We believe that the recommendations of the Spanish Medicines Agency should be followed and prescribe those contraceptives that have less than 30ug of ethinylestradiol and a second generation gestagen.
authors.affiliation: Medicina de Familia y Comunitaria, Centro de Salud Valdefierro, Zaragoza, España. oscarej@hotmail.com
authors.forename: O
authors.initials: O
authors.lastname: Esteban-Jiménez
authors.forename: L
authors.initials: L
authors.lastname: Velázquez-Lupiáñez
authors.forename: M C
authors.initials: MC
authors.lastname: Martínez-Raposo Piedrafita
authors.forename: A D
authors.initials: AD
authors.lastname: Cebollada-Gracia
mesh_terms: D000328:Adult; D003277:Contraceptives, Oral, Combined / Q000009:adverse effects*; D017373:Cyproterone Acetate / Q000009:adverse effects*; D004967:Estrogens / Q000009:adverse effects*; D004997:Ethinyl Estradiol / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011320:Primary Health Care; D011655:Pulmonary Embolism / Q000139:chemically induced*; D055815:Young Adult
chemical_list: D003277:Contraceptives, Oral, Combined; D004967:Estrogens; D004997:Ethinyl Estradiol; D017373:Cyproterone Acetate