TY  - JOUR
T1  - Mitral valve prolapse in women with oral contraceptive-related cerebrovascular insufficiency: Associated persistent hypercoagulable state
AU  - Elam MB, Viar MJ, Ratts TE, Chesney CM
Y1  - 1986/01/01
N1  - 10.1001/archinte.1986.00360130091013
JO  - Archives of Internal Medicine
SP  - 73
EP  - 77
VL  - 146
IS  - 1
N2  - We examined a group of former oral contraceptive (OC) users, who had experienced cerebrovascular insufficiency, for the presence of hypercoagulable states. We found hypercoagulability in this group in the form of decreased plasma anti-thrombin III activity, increased platelet coagulant activity, and elevated plasma β-thromboglobulin level. Certain characteristics (cigarette smoking, vascular headache, hyperlipidemia, and mitral valve prolapse) were encountered with increased frequency among former OC users who had experienced cerebrovascular insufficiency. The association of mitral valve prolapse with OC-related cerebrovascular insufficiency was particularly striking. We propose that preexisting hypercoagulable states, such as may exist in a subset of individuals with mitral valve prolapse, will magnify the risk of OC-related cerebrovascular morbidity.(Arch Intern Med 1986;146:73-77)
SN  - 0003-9926
M3  - doi: 10.1001/archinte.1986.00360130091013
UR  - http://dx.doi.org/10.1001/archinte.1986.00360130091013
ER  -