ACE inhibitors for secondary prevention after myocardial infarction in patients with left ventricular dysfunction
Evidence SummariesLevel of Evidence = A
ACE inhibitors reduce mortality, hospitalisation for congestive heart failure, and recurrent non-fatal myocardial infarction in people with left ventricular dysfunction after myocardial infarction.
A topic in Clinical Evidence 1 summarizes the evidence on ACE inhibitors in patients with myocardial infarction and left ventricular dysfunction. A systematic review of 3 RCTs (5,966 people). ACE inhibitors significantly reduced mortality (OR 0.74, 95% CI 0.66 to 0.83, NNT 17 during 2 years), hospitalisation for congestive heart failure (OR 0.73, 95% CI 0.63 to 0.85, NNT 28) and recurrent non-fatal myocardial infarction (OR 0.80, 95% CI 0.69 to 0.94, NNT 43).
The following decision support rules contain links to this evidence summary:
- ACEI/ARB and beta-blockers for patients with congestive heart failure http://www.ebmeds.org/ebmeds/ebmeds_home.asp...
1. Sudlow C, Lonn E, Pignone M, Ness A, Rihal C. Secondary prevention of ischaemic cardiac events. Clin Evid 2002 Jun;(7):124-60. [PMID:12230641]
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