Associação entre o uso de contraceptivos orais e terapia hormonal e a geração de trombina: Análise transversal do Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil)

Autores

DOI:

https://doi.org/10.33448/rsd-v10i9.17888

Palavras-chave:

Anticoncepcionais orais; Terapia de Reposição Hormonal; Testes de coagulação sanguínea.

Resumo

Introdução: O teste de geração de trombina (TGT) avalia o risco de desenvolvimento de eventos trombóticos. O objetivo deste estudo foi investigar a associação entre o uso de contraceptivos orais (COs) e a terapia hormonal (TH) com a TGT e a resistência à proteína C ativada (PCa). Métodos: Estudo transversal com mulheres do Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil). A TGT foi realizada pelo método CAT. Resultados: Houve associação entre todos os parâmetros do TGT e o uso de COs e associação do tempo de latência e pico com o uso de TH. Conclusão: A TGT permite avaliar o estado de hipercoagulabilidade e pode ser útil no manejo de usuárias de hormônios femininos.

Referências

Alhenc-gelas, M., et al. (2004). Impact of progestagens on activated protein C (APC) resistance among users of oral contraceptives. Journal of Thrombosis and Haemostasis, 2: 1594–1600.

Aquino, E. M., et al (2021). Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): objectives and design. Am J Epidemiol, 4, 315-24.

Arruda, V. R., et al. (1995). Factor V Leiden (FVQ 506) is common in a Brazilian population. American Journal of Hematology, 49:242-243.

Brummel-Ziedins, K. E., & Wolberg, A. S. (2014). Global assays of hemostasis. Curr Opin Hematol, 21(5):395–403.

Canonico, M., et al. (2010). Activated protein C resistance among postmenopausal women using transdermal estrogens: importance of progestogen. Menopause: The Journal of The North American Menopause Society. 17, 1122/1127.

CLSI, 2007. Procedures for the Collection of Diagnostic Blood Specimens by Venipuncture; approved standard-sixth edition. CLSI Document H3-A6, Wayne (PA): CLSI.

Compiled by Earth Policy Institute from U.N. Population Division. World Contraceptive Use 2011, wall chart (2011) .www.google.fr/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0CCMQFjAA&url=http%3A%2F%2Fwww.earthpolicy.org%2Fdatacenter%2Fxls%2Fhighlights26_all.xls&ei=FZ0WVKPMOdTvaKXzgqgP&usg=AFQjCNF10wNQtG2aoPUgkK9YRymHRxb5cw&sig2=ZpqOHEY2CTVVkIA 9WUrS4Q&bvm=bv.75097201,d.d2s.

Dargaud, Y., et al. T (2007). Effect of standardization and normalization on imprecision of calibrated automated thrombography: an international multicentre study. Journal of Haematology, 139, 303–309.

Departamento de Ciência e Tecnologia do Ministério da Saúde (2009). ELSA Brasil: maior estudo epidemiológico da América Latina. Revista de Saúde Pública, v. 43, p. 1.

Glintborg, D., et al. M (2015). Increased thrombin generation in women with polycystic ovary syndrome: A pilot study on the effect of metformin and oral contraceptives. Metabolism Clinica and Experimenta, l6 4:1272–1278.

Grodstein, F., et al (1996). Prospective study of exogenous hormones and risk of pulmonary embolism in women. Lancet, 348, 983-987.

Grodstein, F., et al (1996). Prospective study of exogenous hormones and risk of pulmonary embolism in women. Lancet, 348:983-7.

Grodstein, F., et al (1996). Posmenopausal estrogen and progestin use and the risk of cardiovascular disease. N Engl. J. Med, 335, 453-461.

Gutthann, S. P., et al. (1997). Hormone replacement therapy and risk of venous thromboembolism: population based case-control study. BMJ, 314:796-800.

Hannaford, P. (2000). Cardiovascular events associated with different combined oral contraceptives: a review of current data. Drug Saf. 22(5):361-71.

Heit, J. A., et al. (2016). The epidemiology of venous thromboembolisam. J Thromb Thrombolysis, 41(1):3–14.

Heit, J. A. (2005). Venous thromboembolism: disease burden, outcomes and risk factors. J Thromb Haemost, 3, 1611–17.

Hoibraaten, E., et al. (1999). Hormone replacement therapy with estradiol and risk of venous thromboembolism: a population- based case-control study. Thromb Haemost, 82, 1218-21.

Lecut, C., et al. (2015). Is there a place for thrombin generation assay in routine clinical laboratory? Ann Biol Clin (Paris), 73(2):137–49.

Lidegaard, O., et al. (2011). Risk of venous thromboembolism from use of oral contraceptives containing different progestogens and oestrogen doses: Danish cohort study, 2001-9. BMJ, 343: d6423.

Lowe, G., et al. (2000). Thrombotic variables and risk of idiopathic venous thromboembolism in women aged 45–64 years. Relationships to hormone replacement therapy. Thromb Haemost, 83, 530–5.

Macfarlane, R. G., & Biggs, R. (1953). A thrombin generation test; the application in haemophilia and thrombocytopenia. J Clin Pathol, 6(1):3–8.

Notelovitz, M., & Greig, H. B. W. (1975). The effect of natural oestrogen on coagulation. S Afr Med J, 49, 101.

Oger, E., et al (2003). Differential effects of oral and transdermal estrogen/progesterone regimens on sensitivity to activated protein

C among postmenopausal women: a randomized trial. Arterioscler Thromb Vasc Biol, 23:1671-1676.

Olivieri, O., et al (1995). Resistance to activated protein C in healthy women taking oral contraceptives. Brit J Haematol, 91: 465-70.

Organização Mundial da Saúde (2003). Anticoncepcionais Orais: o que há de novo.

Pitney, W. R., & Dacie, J. V. (1953). A simple method of studying the generation of thrombin in recalcified plasma; application in the investigation of haemophilia. J Clin Pathol, 6(1):9–14.

Roach, R. E. J., et al. (2011). The risk of venous thrombosis in women over 50 years old using oral contraception or postmenopausal hormone therapy. Journal of Thrombosis and Haemostasis, 11: 124–131.

Rosendaal, F. R., et al. (2003). Estrogens, progestogens and thrombosis. Journal of Thrombosis and Haemostasis, 1, 1371–1380.

Rosing, J., et al (1997). Oral contraceptives and venous thrombosis: different sensitivities to activated protein C in women using second- and third-generation oral contraceptives. Br J Haematol, 97: 233-8.

Rozenberg, S., et al. (2013). Postmenopausal hormone therapy: risks and benefits. Nat Rev Endocrinol, 9,216-27.

Ruhl H, Schroder L, Muller J, Sukhitashvili S, Welz J, Kuhn WC, Oldenburg J, Rudlowski C, Potzsch B (2014). Impact of Hormone-Associated Resistance to Activated Protein C on the Thrombotic Potential of Oral Contraceptives: A Prospective Observational Study. Plos One, 9.

Scarabin, P. Y., et al. (2015). Increased thrombin generation among postmenopausal women using hormone therapy: importance of the route of estrogen administration and progestogens. Menopause: The Journal of The North American Menopause Society. 18, 873/879.

Stampfer, M. J., et al. (1990). Past use of oral contraceptives and cardiovascular disease: a meta-analysis in the context of the Nurses' Health Study. Am J Obstet Gynecol. Jul;163(1 Pt 2):285-91.

Tchaikovski, S. N., & Rosing, J. (2010). Mechanisms of Estrogen-Induced Venous Thromboembolism. Thrombosis Research 126, 5–11.

Tripodi A (2020). Usefulness of thrombin generation. Hämostaseologie, 40: 509-514.

van Vliet, H. A., et al (2008). Different effects of oral contraceptives containing different progestogens on protein S and tissue factor pathway inhibitor. J Thromb Haemost, 6: 346–51.

Vessey, M., et al. (1986). Oral contraceptives and venous thromboembolism: findings in a large prospective study. BMJ.

Vieira, C. S., et al. (2007). Female hormones and hemostasis. Rev Bras Ginecol Obstet. 29, 538-47.

Vigo, F., et al. (2011). Progestógenos: farmacologia e uso clínico. Femina, 39

Vlieg, van H., et al. (2009). The venous thrombotic risk of oral contraceptives, effects of oestrogen dose and progestogen type: results of the MEGA case-control study. BMJ, 339:b2921.

Zia, A., et al. (2015). Hypercoagulability in adolescent girls on oral contraceptivesglobal coagulation profile and estrogen receptor polymorphisms. Am. J. Hematol. 90:725–731.

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03/08/2021

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BATISTA, T. R. .; BARRETO, S. M. .; SILVA, A. P. F.; OLIVEIRA JUNIOR, W. V. de .; MALUF, C. B. .; RIBEIRO, A. L. P. .; CARVALHO, M. das G. .; FIGUEIREDO, R. C. de; RIOS, D. R. A. Associação entre o uso de contraceptivos orais e terapia hormonal e a geração de trombina: Análise transversal do Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil). Research, Society and Development, [S. l.], v. 10, n. 9, p. e12910917888, 2021. DOI: 10.33448/rsd-v10i9.17888. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/17888. Acesso em: 23 nov. 2024.

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Ciências da Saúde