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Evid Based Med 6:110 doi:10.1136/ebm.6.4.110
  • Therapeutics

Review: calcium antagonists lead to a higher risk for myocardial infarction, congestive heart failure, and major cardiovascular events

Calcium antagonists (CAs) v other antihypertensive agents in hypertension*

Weighted event rates
Outcomes CAs Other agents RRI (95% CI) NNH (CI)
MI 4.5% 3.6% 25% (11 to 41) 110 (67 to 259)
Congestive heart failure 3.3% 2.7% 24% (7 to 44) 152 (83 to 538)
Major cardiovascular events 14.2% 13.1% 24% (7 to 44) 90 (51 to 442)
All-cause mortality 8.3% 8.1% 3% (−6 to 12) Not significant
CAs Other agents RRR (CI) NNT (CI)
* Follow up ranged from 2–7 years. MI = myocardial infarction. Other abbreviations defined in glossary; RRI, RRR, NNH, NNT, and CI calculated from data in article.
Stroke 4.5% 5.0% 10% (−2 to 19) Not significant

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