
Updates In Medicine
February 15, 2025 at 11:23 AM
*Colchicine & Spironolactone in Acute MI: No Significant Benefit 🚫*
*🔑 Key Findings:*
• *Colchicine*: No reduction in the composite primary outcome (cardiovascular death, recurrent MI, stroke, or unplanned revascularisation).
• Results: 9.1% event rate in the colchicine group vs. 9.3% in the placebo group.
• Hazard Ratio: 0.99 (95% CI, 0.85–1.16; P=0.93)
• *Spironolactone*: No significant reduction in death from cardiovascular causes or new/worsening heart failure.
• Results: 1.7 events/100 patient-years in spironolactone vs. 2.1 in placebo.
• Hazard Ratio: 0.91 (95% CI, 0.69–1.21; P=0.51)
🩺 *Clinical Implication:* Routine use of colchicine and spironolactone post-MI does not improve outcomes.
*🔗 Original Articles:*
📄 Colchicine: https://doi.org/10.1056/NEJMoa2405922
📄 Spironolactone: https://doi.org/10.1056/NEJMoa2405923
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