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Fig 1.

PRISMA flowchart.

The study selection process and information sources are detailed in the PRISMA flowchart.

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Table 1.

General characteristics of the included studies.

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Table 1 Expand

Table 2.

Evaluation of the methodological quality of case-control studies.

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Table 3.

Evaluation of risk of bias of cohort studies.

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Table 4.

Evaluation of the critical approach case series studies.

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Fig 2.

Subgroup analysis in combined oral contraceptives by exposure definition (outcome: ischemic cerebrovascular event).

Test for subgroup differences: Chi2 = 5.66, df = 1 (P = 0.02), I2 = 82.3%.

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Fig 2 Expand

Fig 3.

Current use of combined oral contraceptives compared with no current use (past use or never used) in hypertensive women.

Outcome: hemorrhagic cerebrovascular event. Heterogeneity: Tau2 = 0.00; Chi2 = 0.00, df = 1 (P = 0.98); I2 = 0%.

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Fig 4.

Subgroup analysis in combined or progestin-only oral contraceptives by exposure definition (outcome: ischemic cerebrovascular event).

Test for subgroup differences: Chi2 = 4.92, df = 1 (P = 0.03), I2 = 79.7%.

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Fig 5.

Current use of combined oral contraceptives or progestin-only pills compared with no current use (past use or never used) of combined oral contraceptives or progestin-only pills in hypertensive women.

Outcome: acute myocardial infarction. Heterogeneity: Tau2 = 0.00; Chi2 = 0.35, df = 1 (P = 0.55); I2 = 0%.

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Fig 5 Expand