The influence of the body mass index (BMI) on selected parameters of the coagulation system in patients with disorders of the balance system taking oral contraceptives
Journal Title: Otolaryngologia Polska - Year 2016, Vol 70, Issue 4
Abstract
Introduction: The objective of the paper is to evaluate the influence of the body mass index (BMI) on selected parameters of the coagulation system in patients with disorders of the balance system taking oral contraceptives. Material and methods: 105 young women participated in the study who were divided into 2 groups. Group I: 52 women disorders of the balance system taking hormonal contraceptives for at least 2 months, between the age of 20–49; Group II: 53 women with no disorders of the balance system taking hormonal contraceptives for at least 2 months, between the age of 18–40. Patients entering the study underwent full otoneurological examination, detailed laryngological assessment and the examination of selected parameters of the hemostasis system, including the evaluation of fibrinogen and D-dimer levels, APTT and PT, estradiol and progesterone concentrations in the blood serum and evaluation of the body mass index (BMI). Results: Central vertigo was the most common type of vertigo in the study group (59,6% of cases). Other vertigo types in this group included compensated vertigo of mixed origin (36,6% of cases) and peripheral vertigo (only 3,8% of cases), which indicates that 40.4% of the cases suffer from damage to the labyrinth. The analysis of the concentration of estradiol in the blood serum revealed, after consideration of a menstrual cycle phase, that estradiol concentration exceeded normative values significantly more often in the study group than in the control group and that estradiol concentration was significantly less frequently below the norm in the study group; the difference was statistically significant (p=0,048). The body mass index (BMI) of women participating in the study significantly correlated with the concentration of D-dimers only in the study group (p=0,35 vs p=0,012). Conclusions: Evaluating the body mass index before administering hormonal contraception can be useful to eliminate other risk factors for thromboembolism. In order to prevent potential thromboembolism episodes, administering hormonal contraception only after lowering the body mass index may also be worth considering.<br/><br/>
Authors and Affiliations
Marzena Bielińska, Joanna Urbaniak, Krzysztof Kuśmierczyk, Jurek Olszewski, Piotr Pietkiewicz
Keywords
Related Articles
- EP ID EP76854
- DOI 10.5604/00306657.1199345
- Views 76
- Downloads 0
Prognostic factors in patients operated on eardrum perforation with intact ossicular chain
SUMMARY Background: Ear drum perforation is a typical feature in chronic otitis media. It can have posttraumatic etiology or it is observed in acute otitis media too. Aim: This paper is intended to evaluate effectiveness...
Wpływ kompleksu diaka-tetra (N1,3-triazol,κN2) miedź (II) na barierę pro- i antyoksydacyjną osób z polipami nosa
Introduction: The aim of this study was synthesized properties 1,2,4-triazole complex ion Cu (II) to determine their potential antioxidant properties, further indication of activity of antioxidant enzymes: catalase (CAT)...
Sprawozdanie z XXXVI Międzynarodowego Kongresu Towarzystwa Neurootologicznego i Vestibulometrycznego (NES – Neurootological and Equilibriometric Society)
<a href=# onclick=document.zmienLangEN.submit()>Streszczenie dost&#281;pne w j&#281;zyku angielskim!</a>
Udział białka RCAS1 w tworzeniu supresyjnego profilu mikrośrodowiska raka płaskonabłonkowego gardła środkowego
Znaczenie angiografii i embolizacji w leczeniu malformacji naczyniowych głowy i szyi w materiale Kliniki Otolaryngologii Uniwersytetu Medycznego w Poznaniu
Angiography is an invasive, radiological investigation of vascular system. It plays an important role within variety of diagnostic tools in head and neck pathologies. In selected cases with well defined tumor supply vess...