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  • Title: Medical Grand Rounds from Touro Infirmary. Pulmonary hypertension.
    Author: Jacobs S.
    Journal: J La State Med Soc; 1972 Apr; 124(4):137-42. PubMed ID: 5018734.
    Abstract:
    The case history of a 38-year-old white housewife, Mrs. T, who was admitted to Touro Infirmary because of hemoptysis is presented. The patient was the mother of 9 children who began to take oral contraceptives after the eighth child. On discontinuing this form of prophylaxis, the ninth pregnancy ensued. Following the birth of the ninth baby, the patient resumed oral contraceptives (C-Quens), which she continued until a year before her admission to the hospital. The patient was always obese, and at one time she weighed 266 pounds. There was also a family history of hypertensive cardiovascular disease. The c linical impression on admission was that the patient had pulmonary embolism secondary to venous thrombosis of the left lower extremity. The clinical impression of severe pulmonary hypertension was confirmed by cardiac catheterization. Because the patient's long-term prognosis was hopeless, early hospital discharge was planned. Mrs. T. had irreversible and extensive cardiopulmonary damage. Dr. Bice was convinced that oral contraceptives played a significant part in the development of the patient's illness. He noted that oral contraceptives in most cases are apparently safe, but they should be given only to women who do not exhibit predisposing causes to thromboembolism.
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