Cochrane · systematic review · CD006743

Effect of early treatment with anti‐hypertensive drugs on short and long‐term mortality in patients with an acute cardiovascular event

Perez, MI, Musini, VM, Wright, JM · Cochrane Database of Systematic Reviews · 2009 · Cochrane Library

HypertensionAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 25%Low 1 · 12.5%Moderate 0 · 0%High 5 · 62.5%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Immediate and short term administration of nitrates in patients with acute cardiovascular events

Population: patients with acute myocardial infarction1
2 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality at 2 days ‐ immediate treatment
RR 0.81 [0.74, 0.89]6 studies · 82624 participantsHigh
All‐cause mortality at 10 days‐ short‐term treatment
RR 0.91 [0.86, 0.97]6 studies · 78178 participantsHigh

Immediate and short term administration of ACE inhibitors in patients with acute cardiovascular events

Population: acute myocardial infarction1
2 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality at 2 days ‐ immediate treatment
RR 0.91 [0.82, 1]3 studies · 77414 participantsHigh
All‐cause mortality at 10 days ‐ short‐term treatment
RR 0.93 [0.87, 0.98]10 studies · 84311 participantsHigh

Immediate and short term administration of Beta‐blockers in patients with acute cardiovascular events

Population: patients with acute myocardial infarction1
2 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality at 2 days ‐ immediate treatment
RR 0.95 [0.85, 1.07]6 studies · 68007 participantsLow
Downgraded: risk of bias
All‐cause mortality at 10 days ‐ short‐term treatment
RR 0.96 [0.91, 1.02]14 studies · 71457 participantsHigh

Immediate and short term administration of calcium channel blockers (CCB) in patients with acute cardiovascular events

Population: patients with acute myocardial infarction or stroke1
2 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality at 2 days ‐ immediate treatment
RR 2.33 [0.62, 8.78]3 studies · 242 participantsVery low
All‐cause mortality at 10 days ‐ short‐term treatment
RR 1.01 [0.73, 1.38]15 studies · 1900 participantsVery low