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Evid Based Med 14:42-43 doi:10.1136/ebm.14.2.42
  • Therapeutics

Review: inhaled anticholinergics increase risk of major cardiovascular events in COPD

Inhaled anticholinergics v placebo or active drugs (control) in patients with chronic obstructive pulmonary disease*
Outcomes Number of trials (n) Weighted event rates At 6 weeks to 5 years
Anticholinergics Control RRI (95% CI) NNH (CI)
Major cardiovascular event† 17 (14 783) 1.9% 1.2% 58% (21 to 106) 147 (80 to 404)
Myocardial infarction 11 (10 598) 1.3% 0.8% 53% (5 to 123) 228 (98 to 2410)
Stroke 7 (9251) 0.6% 0.4% 46% (−19 to 162) Not significant
Cardiovascular death 12 (12 376) 0.9% 0.5% 80% (17 to 177) 250 (113 to 1177)
All-cause death 17 (14 783) 2.0% 1.6% 26% (−1 to 61) Not significant
  • *Abbreviations defined in glossary. Weighted event rates, RRI, NNH, and CI calculated from data in article using a fixed-effect model.

  • †Myocardial infarction, stroke, or cardiovascular death.

  • *Abbreviations defined in glossary. Weighted event rates, RRI, NNH, and CI calculated from data in article using a fixed-effect model.

  • †Myocardial infarction, stroke, or cardiovascular death.

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