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Myocardial infarction and pulmonary embolism in a young man during feminizing gender-affirming therapy: а case report

https://doi.org/10.15829/1560-4071-2025-6116

EDN: XHKQSO

Abstract

More than 100 million women use combined oral contraceptives to prevent unintended pregnancy, as well as for a number of other medical indications. Taking estrogen and progestin drugs is associated with the risk of acute thromboembolic and vascular events. This is a consequence of an increase in serum coagulation factors and a direct effect on endothelial dysfunction, which enhances platelet aggregation. This article demonstrates the development of myocardial infarction and pulmonary embolism in a young man during feminizing therapy.

About the Authors

D. A. Grabovyi
Polyakov Samara Regional Clinical Cardiology Dispensary
Russian Federation

Samara


Competing Interests:

 None



G. R. Bikbaeva
Polyakov Samara Regional Clinical Cardiology Dispensary
Russian Federation

Samara


Competing Interests:

None



I. A. Osadchii
Polyakov Samara Regional Clinical Cardiology Dispensary
Russian Federation

Samara


Competing Interests:

None



A. A. Tukhbatova
Polyakov Samara Regional Clinical Cardiology Dispensary
Russian Federation

Samara


Competing Interests:

None



D. V. Duplyakov
Polyakov Samara Regional Clinical Cardiology Dispensary
Russian Federation

Samara


Competing Interests:

None



References

1. Novosartyan MG, Samburova NV, Anichkova EV, et al. Combined hormonal contraceptives as a risk factor for cerebrovascular accident. Akusherstvo, Ginekologia i Reprodukcia = Obstetrics, Gynecology and Reproduction. 2020;14(1):69-79. (In Russ.)

2. Meerwijk E, Sebelius J. Transgender populationsize in the United States: a metaregression of population-based probability samples. Am.J. PublicHealth. 2017;107(2):e1- e8. doi:10.2105/AJPH.2016.303578.

3. Buziashvili YuI, Asymbekova EU, Tugeeva EF, et al. Acute myocardial infarction on the background of feminizing hormone therapy. Creative Cardiology. 2023;17(1):153-9. (In Russ.)

4. Kumchenko SK, Tkhostov ASh, Rasskazova EI. Effect of cross-sex hormones on the quality of life in transgenders. Natsional'nyy psikhologocheskiy zhurnal (National psychological journal). 2023;(1):44-54. (In Russ.)

5. Ovchinnikov YuV, Panfilov DN, Zelenov MV, et al. Pulmonary embolism in women taking oral hormonal contraceptives. Klin. med. 2015;93(10):58-66. (In Russ.)

6. Gabidullina RI. Estetrol: a natural estrogen with tissue-selective activity in a novel combined oral contraceptive. Vopr. ginekol. akus. perinatol. (Gynecology, Obstetrics and Perinatology). 2022;21(5):70-8. (In Russ.)

7. Gabelova KA, Shabanova NA, Bezhenar VF, et al. Risks of venous thromboembolic complications in related to combined oral contraceptives. Akusherstvo, Ginekologia i Reprodukcia = Obstetrics, Gynecology and Reproduction. 2021;15(6):777-87. (In Russ.)


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For citations:


Grabovyi D.A., Bikbaeva G.R., Osadchii I.A., Tukhbatova A.A., Duplyakov D.V. Myocardial infarction and pulmonary embolism in a young man during feminizing gender-affirming therapy: а case report. Russian Journal of Cardiology. 2025;30(5S):6116. (In Russ.) https://doi.org/10.15829/1560-4071-2025-6116. EDN: XHKQSO

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ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)