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Myocardial infarction

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Prevention

Avoid using sotalol. a

Why?

  • Patients with LV dysfunction who receive prophylactic sotalol compared with placebo are at increased risk of dying. a

Sotalol increases mortality with heart failure

Patient Treatment Comparison Outcome CER RRR
(95% CI)
NNH (95% CI)
myocardial infarction and heart failure a sotalol placebo death
at 5 months
3.1% 65%
(16% to 140%)
50 (30 to 170)

 

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