Coronary heart disease and uterine fibroids: case history
Currently, 15% to 17% of adult Russian population suffer from coronary heart disease (CHD). In women older than 30 years, CHD is diagnosed in 30% of cases. Uterine fibroids rank second in incidence among gynecological disorders (20-40%). However, no data on uterine fibroids/CHD association are available from published sources. This paper describes case history of CHD and uterine fibroids. Considering a tendency to prescribe antiaggregant and anticoagulant therapies for cardiovascular disorders more often, there is an increased risk of hemorrhages including abnormal uterine bleeding. Endovascular image-guided interventions verify the diagnosis and provide full picture of the nature andseverity of the disease. This case history demonstrates that a first-step percutaneous coronary intervention and a second-step X-ray guided uterine artery embolization is a good and fast treatment for both conditions. Approved international guidelines for the management of CHD/uterine fibroid association are lacking, therefore, randomized multicenter clinical trials are required to produce optimal treatment strategy for these patients.