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Acute coronary syndrome

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Therapy

For patients already on calcium channel blockers, add a beta-blocker a if possible 

Why?

  • Patients have fewer ischaemic attacks (roughly 2 fewer a day) and attacks are shorter (by roughly 17 minutes) a

More patients stop beta-blockers than calcium-channel blockers due to side effects

Patient Treatment Comparison Outcome CER RRR
(95% CI)		 NNH
(95% CI)
stable angina a beta-blockers calcium-channel blockers withdrawal due to adverse effects
at months 		8.5% -34%
(-57% to -14%) 		34
(22 to 75)
 

 

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