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Acute coronary syndrome

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Therapy

Less effective alternatives include ticlodipine  a

Why?

  • Ticlodipine reduces non-fatal myocardial infarction, although it has no clear effect on death from heart disease a    
  • However, adverse effects severe enough to discontinue therapy are common (particularly neutropenia) a

Ticlopidine reduces non-fatal MI

Patient Treatment Comparison Outcome CER RRR
(95% CI)
NNT
(95% CI)
unstable angina a ticlodipine no ticlodipine non-fatal MI
at 6 months
8.8% 46%
(2.0% to 70%)
24 (13 to 390)

 

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