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Myocardial infarction

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Prevention

Treat hypertension a

Why?

  • Treating hypertension with low-dose diuretics or beta-blockers reduces stroke, cardiovascular disease and heart failure. a
  • The benefits are greater for elderly patients a particularly with diuretics. a

Hypertension: beta-blockers and low-dose diuretics reduce stroke and heart failure

Patient Treatment Comparison Outcome CER OR
(95% CI)
NNT
(95% CI)
hypertension a low-dose diuretics placebo stroke
at 5 years
6.8% 0.66
(0.55 to 0.78)
42
(32 to 65)
  low-dose diuretics placebo coronary heart disease
at 5 years
7.1% 0.71
(0.59 to 0.86)
120
(81 to 240)
  beta-blockers placebo heart failure
at 5 years
2.6% 0.72
(0.61 to 0.85)
51
(37 to 95)
  beta-blockers placebo stroke
at 5 years
2.8% 0.58
(0.44 to 0.76)
91
(68 to 160)
  beta-blockers placebo heart failure
at 5 years
1.4% 0.58
(0.40 to 0.84)
170
(120 to 430)

 

 

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

Author   CM   Ball , N   Shenker
Reviewer   S   Straus
CAT Writers   CJ   Wotton , N   Shenker , B   Phillips , CM   Ball