Despite improvement in primary prevention1 and treatment,2 acutemyocardial infarction remains the chief cause of death in theUnited States and most developed countries. Almost half of allvictims of myocardial infarction die before they reach the hospital.3Of several hundred thousand patients hospitalized each yearwith acute myocardial infarction, 7 to 15 percent die duringhospitalization and another 7 to 15 percent die during the followingyear.4
This article reviews the current evidence from published randomizedtrials (Table 1) and meta-analyses (Table 2) of adjunctive drugtherapy with beta-adrenergic antagonists, angiotensin-convertingenzyme(ACE) inhibitors, nitrates, calcium-channel . . . [Full Text of this Article]
Beta-AdrenergicAntagonist Drugs
ACE Inhibitors
Nitrates
Calcium-Channel Blockers
Antiarrhythmic Drugs
Magnesium
Conclusions
Source Information
From the Division of Preventive Medicine (C.H.H., C.M.A., S.L.G., J.M.G., J.E.B.) and the Cardiovascular Division (J.M.G.), Department of Medicine, Brigham and Women's Hospital; the Cardiovascular Division, Department of Medicine, Massachusetts General Hospital and Harvard Medical School (C.M.A.); the Department of Ambulatory Care and Prevention, Harvard Medical School (C.H.H., J.E.B.); the Department of Epidemiology, Harvard School of Public Health (C.H.H., J.E.B.); and the Department of Medicine, BrocktonWest Roxbury Veterans Affairs Medical Center (J.M.G.) all in Boston.
Address reprint requests to Dr. Hennekens at the Division of Preventive Medicine, Brigham and Women's Hospital, 900 Commonwealth Ave. East, Boston, MA 02215-1204.
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