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This is frequently touched in USMLE CK questions.
Here's a quick list
Here's a quick list
- Smoking greater than age 35
- History of CVA or MI or multiple risk factors for coronary artery disease (older, smoker, hypertension, DM)
- Moderate or severe hypertension ( baseline BP > 160/100), should also avoid in patients who have more adequately controlled hypertension as risks usually outweigh benefits
- Diabetes with significant vascular complications
- Complicated valvular heart disease
- Thrombophilia or Thromboembolic disorder (history of DVT/PE)
- Major surgery with prolonged hospitalization
- Known or suspected pregnancy
- Undiagnosed vaginal bleeding
- Known or suspected breast cancer (or history of breast cancer)
- Markedly abnormal liver function, active viral hepatitis, malignant liver tumor
- Avoid in patients with symptomatic gall bladder disease current or treated
- Migraine with focal neurologic symptoms (flashing lights, loss of vision, weakness, slurred speech, dizziness, cranial nerve abnormalities)