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Smoking, hormonal contraception and pulmonary embolism: a case report from a nurse's perspective

Publication |
2019

Abstract

In addition to an overall roughly double cardiovascular risk, smoking significantly increases the incidence of thromboembolic disease and pulmonary embolism, especially in interaction with hormonal contraception. However, tobacco dependence is a chronic recurrent disease that is not easy to get rid of.

The case report describes several years of unsuccessful treatment of tobacco dependence of a girl from a smoking family who has been our patient from her age of 14 to 19. She had a total of 5 attempts to stop smoking, but she succeeded to be abstinent for 3 months at most.

After six months of hormonal contraception use, she suffered a pulmonary embolism, yet she did not stop smoking.