Low-dose oral contraceptive-induced acute myocardial infarction.
OBJECTIVE
Since their introduction, oral contraceptives (OCs) have been associated with risk to both the venous and the arterial systems. Studies have shown that OC use is associated with a risk of venous thromboembolism, ischaemic stroke and acute myocardial infarction (MI). MI is rarely seen in patients using OCs, particularly in the absence of clinical risk factors or smoking.


METHODS
We report a case of acute inferior MI in a 20-year-old non-smoker who had used a low-dose OC (3 mg drospirenone and 30 μg ethinyl estradiol) for 1 month. As far as we know, this is the youngest case of acute MI associated with a low-dose OC.


CONCLUSIONS
Low-dose OCs may also be responsible for acute MI even in a very young female without any cardiovascular risk factors. Therefore, the clinicians should be aware of this mortal events during follow-up of the patient using OCs.
a Department of Cardiology , Atatürk Education and Research Hospital , Ankara , Turkey.
Abdullah Nabi
AN
Aslan
b Department of Cardiology, Faculty of Medicine , Yıldırım Beyazıt University , Ankara , Turkey.
Hakan
H
Süygün
a Department of Cardiology , Atatürk Education and Research Hospital , Ankara , Turkey.
Serkan
S
Sivri
b Department of Cardiology, Faculty of Medicine , Yıldırım Beyazıt University , Ankara , Turkey.
Telat
T
Keleş
D000328:Adult; D000736:Androstenes / Q000009:adverse effects*; D003277:Contraceptives, Oral, Combined / Q000009:adverse effects*; D017023:Coronary Angiography; D004452:Echocardiography; D004997:Ethinyl Estradiol / Q000009:adverse effects*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000139:chemically induced*; D012307:Risk Factors; D055815:Young Adult
D000736:Androstenes; D003277:Contraceptives, Oral, Combined; C534342:drospirenone and ethinyl estradiol combination; D004997:Ethinyl Estradiol
Acute myocardial infarction; low-dose oral contraceptives; thromboembolism; youngest case