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Rietzschel heart oral contraceptives

However, women should not discontinue use of the pill solely on the basis of findings from the European population-based study, cautioned Ernst Rietzschel, M. Rather, it suggests that physicians should monitor cardiovascular risk for women prescribed oral contraceptives and counsel them on ways to manage the atherosclerotic risk through lifestyle changes, commented Nieca Goldberg, M. Despite all the controversy surrounding hormone replacement therapy, little attention has been paid to hormonal contraceptives, "a drug therapy taken by far more women for a far longer time of use with far higher doses of estrogen," Dr. Rietzschel said. Action Points Caution patients that the authors of this study suggested that cardiovascular risk from hormonal contraceptive use may be managed with lifestyle changes and may not be a reason for discontinuing use.
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Oral contraceptives linked to vascular stiffness.

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Discussion In response to the objectives of this study, we identified that women who use COC have higher oxidized LDL values, with a moderate and positive correlation of oxidized LDL with LDL-cholesterol, total cholesterol and triglycerides. In addition, Thus, although it is not possible to establish a perfect cause-effect relationship due to the method used, to the non-stratification of COC types, and to the effects of regionality, the results presented here are reinforced by the characteristics and homogeneity of the sample, which does not present the classic factors that could be known to induce the increase of oxidized LDL. In this context, although there is no clearly defined mechanism, some hypotheses may explain the elevation of oxidized LDL in women who use COC.
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Oral contraceptives linked to vascular stiffness.. Ernst Rietzschel said at the annual scientific sessions of the American Heart Association. But he also explicitly cautioned against using this finding as a reason for women to immediately stop using an oral contraceptive OC. He called for confirmation of the finding in other groups of OC-using women.
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