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Coronary Heart Disease EpidemiologyFrom aetiology to public health$
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Michael Marmot and Paul Elliott

Print publication date: 2005

Print ISBN-13: 9780198525738

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780198525738.001.0001

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Use of oral contraceptives

Use of oral contraceptives

Chapter:
(p.348) Chapter 23 Use of oral contraceptives
Source:
Coronary Heart Disease Epidemiology
Author(s):

N. R. Poulter

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198525738.003.0024

This chapter reviews studies on the link between oral contraceptive (OC) use and risk of coronary heart disease (CHD). The small absolute excess risk of a myocardial infarction (MI) due to the use of combined OCs should be balanced against the risks and benefits associated with the use of alternative forms of contraception and of the effect of OCs on other CV end points, on risk of, or protection against, certain forms of neoplasia, on quality of life, and ultimately on overall morbidity and mortality. The users of OCs are the only ones who can ultimately make this decision, but despite the small absolute risks involved, given the young age of OC users and the iatrogenic background to any complications induced, it is incumbent upon the medical research community to objectively evaluate the various pieces of information necessary to make such judgements.

Keywords:   CHD, coronary heart disease, cardiovascular disease, birth control, risk factors

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