Browse Guides  internal medicine  cardiology

Myocardial infarction

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Prevention

Cholesterol

using gemfibrozil for patients with a low HDL levels a

Why?

  • Men with low HDL levels who take gemfibrozil are less likely to have a myocardial infarction or die from heart disease. There is no clear effect on stroke. a

Gemfibrozil reduces MI and death from heart disease in patients with low HDL levels

Patient Treatment Comparison Outcome CER RRR
(95% CI)
NNT
(95% CI)
MI or angina, and HDL < 1.0 mmol/l a gemfibrozil placebo nonfatal myocardial infarction or death due to heart disease
at 5 years
22% 20%
(6.0% to 32%)
23
(12 to 77)

 

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