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CASE 7
Case 7
PROBLEM:
1. Using microgynon
2. Hypertension
Definition of Hypertension
3
Pathophysiology of Hypertension
4
Risk Factor of Hypertension
Risk factor
1.Age
2.Alcohol
3.High sodium intake
4.Smoking
5.Diabetic Drug induce:
6.Hyperlipidemia The use of microgynon
7.Family history (genetic) - levonorgestrel
8.Gender - ethynil estradiol
9.Drug induce
Mechanism of Microgynon-induced
Hypertension
Based on 24 studies including 270,284
participants, a positive association was found
between duration of oral contraceptive (OC)
use and risk of hypertension.
duration of oral contraceptive use risk of
hypertension
risk of hypertension increased by 13% for
every 5-year increment in oral contraceptive
use
DiPiro (1988):
First line of hypertension therapy:
ACEI, ARB, CCB or diuretics