• MCM

1 hour

All audiences

Angiotensin receptor blockers and risk of myocardial infarction: meta-analyses and trial sequential analyses of 147 020 patients from randomised trials

The purpose of this activity is to evaluate reports of increased risk of myocardial infarction with the use of angiotensin receptor blockers (ARBs) and to evaluate the utility of angiotensin receptor blockers at reducing the risk of other cardiovascular outcomes.

Learning outcomes

1) Identify the association between use of angiotensin receptor blockers and risk of myocardial infarction

2) Identify the role of angiotensin receptor blockers in reducing the risk of other cardiovascular outcomes and other outcomes in patients with cardiovascular conditions

3) Appraise the study design and the strength of evidence for these associations

4) Recognise the potential implications of the findings for public health.

Written by:

BMJ and the Cleveland Clinic

BMJ and the Cleveland Clinic

Authors/Faculty:

Sripal Bangalore, Sunil Kumar, Jørn Wetterslev, and Franz H Messerli

Sripal Bangalore, Sunil Kumar, Jørn Wetterslev, and Franz H Messerli

Biography :

Sripal Bangalore is the director of research for the cardiac catheterisation laboratory and an assistant professor of medicine at New York University School of Medicine, New York, NY 10016, United States. Sunil Kumar is a fellow in cardiovascular medicine at University of Nebraska, Omaha, Nebraska, United States. Jørn Wetterslev is a chief physician at Copenhagen Trial Unit, Center for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Denmark. Franz H Messerli is the director of hypertension program and a professor of clinical medicine, St Luke’s Roosevelt Hospital and Columbia University, New York, United States.

Disclosure :

All authors have completed the Unified Competing Interest form at www.icmje.org/coi_disclosure.pdf (available on request from the corresponding author) and declare: no support from any organisation for the submitted work; FHM has been an occasional consultant/speaker for Novartis, Daiichi Sankyo, Sanofi, and Savient Pharmaceuticals and has received grants from Novartis, Forest, and Boehringer Ingelheim; no other relationships or activities that could appear to have influenced the submitted work.

Activity Directors:

William D Carey, MD and Dr Kirsten Patrick

William D Carey, MD and Dr Kirsten Patrick

Biography :

William D Carey, MD is Director, Center for Continuing Education, Cleveland Clinic, Cleveland, Ohio. Dr Kirsten Patrick is an Assistant Editor, British Medical Journal, London.

Disclosure :

We declare no financial interests, commercial affiliations, or conflicts of interest.

CME Disclaimer :

The information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient's medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by any of the accreditors. In no event will any of the accreditors be liable for any decision made or action taken in reliance upon the information provided through this CME activity.

Last updated

20 Apr 2011

Release date

20 Apr 2011

Expiration date

20 Apr 2012

Accreditation

Accreditor credit Accreditation statement
ASCOFAME 1:00 hour BMJ Learning has assigned 1 hour of CPD/CME credit to this module. BMJ Learning modules are being certified for ASCOFAME VIRTUAL (Colombia).
Australian College of Nursing 1 credit, 1:00 hour ACN 3LP participants can claim 1 CNE point per hour of active learning for modules that are directly related to their area of nursing practice (no limit).
Austrian Academy of Physicians 1 credit, 1:00 hour BMJ Learning modules have been certified for DFT Punkte. DFT Punkte are accepted in Austria
BMJ Learning 1 credit, 1:00 hour BMJ Learning has assigned one hour of credit to this module
Bahrain Defence Force Hospital 1 credit, 1:00 hour The Bahrain Defence Force Military Hospital represented by the Ministry of Defence Bahrain recognises BMJ Learning as being accredited for the purpose of continuous medical education (CME)/continuous professional development (CPD) in BDF. Healthcare professionals can thus claim continuous professional development credits for their activity in BMJ Learning. Completion of one module is considered the equivalent of one credit or one hour of learning.
Bhutan Medical and Health Council 1 credit, 1:00 hour Bhutan Medical and Health Council has formally accredited all BMJ Learning online modules for continuous professional development. Bhutan Medical and Health Council will accept the CME credit provided by BMJ Learning to any registered members of Bhutan Medical and Health Council for renewal of their registration.
Delhi Medical Council 1 credit, 1:00 hour The Delhi Medical Council recognises BMJ Learning as being accredited for the purpose of continuous medical education (CME)/continuous professional development (CPD). Doctors can thus claim continuous professional development credits for their activity in BMJ Learning. Completion of one module is considered the equivalent of 1 credit or 1 hour of learning.
Dubai Health Authority 1 credit, 1:00 hour BMJ Learning is approved as a CME resource by the Dubai Health Authority (accreditation number 0254/11)
Iraqi Ministry of Health 1 credit, 1:00 hour The Iraq Ministry of Health has accredited BMJ Learning for the purposes of CME. One module is the equivalent of one hour or one credit point.
Kuwait Institute for Medical Specialization 1 credit, 1:00 hour Kuwait Institute for Medical Specialization (KIMS) of the Ministry of Health, State of Kuwait is the authority responsible for organising all aspects of postgraduate training of medical practitioners and other health professionals in Kuwait. Users within Kuwait can claim one hour or one credit per hour of learning completed.
Pakistan Society of Family Physicians 1 credit, 1:00 hour The Pakistan Society of Family Physicians has assigned 1 hour of credit to this module.
Royal Australasian College of Physicians 1:00 hour The RACP does not accredit CPD activities, but MyCPD Program guidelines state that fellows can claim a maximum of 50 credits per year for online learning under 'Category 6 - Other Learning Activities'.
The Colleges of Medicine of South Africa 3 credits The Colleges of Medicine of South Africa has accredited this BMJ Learning module (accreditation number: MDB014/254/06/2010)
The Ministry of Public Health in Qatar 1 credit, 1:00 hour The Ministry of Public Health in Qatar represented by the Accreditation Department of the Qatar Council for Health Practitioners recognizes the continuous medical education (CME)/continuing professional development (CPD) modules provided through BMJ Learning as Category II self-directed learning activities in the State of Qatar. Healthcare professionals in Qatar can thus claim continuing professional development credits for their activity on BMJ Learning, calculated as 1 credit unit per 1 hour (Organization Code OP-02).
The Royal New Zealand College of General Practitioners 1 credit, 1:00 hour RNZCGP endorses the British Medical Journal online CME programmes
Trinidad and Tobago Medical Association 0.5 credits, 1:00 hour The Trinidad and Tobago Medical Association has accredited BMJ Learning. One module equates to 0.5 credits.
UAE Ministry of Health and Prevention 1 credit, 1:00 hour This Program has been awarded 1 CPD Credit Hour by the UAE Ministry of Health and Prevention.
University of Health Sciences Lahore 1 credit, 1:00 hour University of Health Sciences Lahore has assigned 1 hour of credit to this module.