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Acute coronary syndrome

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Prevention

Lower cholesterol levels a even for patients with average levels (cholesterol 4.0 mmol/l to 6.2 mmol/l) a

Why?

  • Patients with coronary artery disease who have cholesterol-lowering therapy are less likely to die, particularly from heart disease. a

Lowering cholesterol reduces mortality

Patient Treatment Comparison Outcome CER RRR
(95% CI)
NNT
(95% CI)
coronary artery disease a cholesterol-lowering therapy no therapy death
at 2 years
10% 16%
(12% to 19%)
63
(51 to 81)
      death from coronary heart disease
at 2 years
6.4% 28%
(24% to 32%)
56
(48 to 67)
  • Patients with cholesterol levels < 6.2 mmol/l who take pravastatin are less likely to have another myocardial infarction or die from heart disease, or require invasive therapy. a
  • Cholesterol-lowering therapy does not clearly increase violent death or suicide. d

 

Expiry date: June 2003
Levels of Evidence used in grading these guides

Authors   CM   Ball , N   Shenker
Reviewer   I K   Jang
CAT Writers   N   Shenker , CJ   Wotton , CM   Ball , RS   Phillips