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Myocardial infarction

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Prevention

Consider giving amiodarone a particularly to patients with ventricular arrhythmias. a

Why?

  • Patients with an acute MI or congestive heart failure who take prophylactic amiodarone are less likely to die particularly from arrhythmias. a

Amiodarone reduces death

Patient Treatment Comparison Outcome CER OR
(95% CI)
NNT
(95% CI)
acute MI or congestive heart failure a amiodarone placebo or usual care death
at months
8.6% 0.87
(0.78 to 0.99)
97
(57 to 1300)
      arrhythmic or sudden death
at months
4.0% 0.71
(0.59 to 0.85)
90
(63 to 180)

 

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