Table 5.
Multivariate cox-proportional hazard analysis of 3-yr events, based on RAS inhibitor prescription at discharge (N = 12,200).
| Events | With RAS inhibitors (N = 9729) | Without RAS inhibitors (N = 2471) | Hazard ratio* (95% CI) | P value |
|---|---|---|---|---|
| No. of patients with events (rate per 100 patient-year†) | ||||
| Cardiac death | 465 (1.8) | 180 (2.9) | 0.82 (0.68–0.99) | .039 |
| All-cause death | 761 (2.9) | 275 (4.4) | 0.85 (0.74–0.99) | .034 |
| MI | 319 (1.2) | 78 (1.3) | 1.04 (0.80–1.35) | .785 |
| Revascularization | 832 (3.4) | 214 (3.6) | 0.90 (0.77–1.05) | .165 |
| Heart failure‡ | 344 (1.3) | 116 (1.9) | 0.87 (0.70–1.09) | .231 |
| MACE | 1540 (6.4) | 468 (8.1) | 0.88 (0.79–0.98) | .024 |
| Stroke | 204 (0.8) | 49 (0.8) | 1.07 (0.77–1.48) | .699 |
| MACCE | 1699 (7.1) | 505 (8.8) | 0.90 (0.81–0.996) | .042 |
| NCD | 291 (1.1) | 95 (1.5) | 0.91 (0.71–1.17) | .459 |
| MACE with NCD | 1794 (7.4) | 547 (9.5) | 0.89 (0.80–0.98) | .021 |
Abbreviations: CI = confidence interval, MACCE = major adverse cardiocerebral event, MACE = major adverse cardiac event, MI = myocardial infarction, NCD = noncardiac death.
Adjusted for age, sex, body mass index, hypertension, diabetes mellitus, prior angina, prior MI, prior heart failure, current smoker status, Killip class, estimated glomerular filtration rate, left ventricular ejection fraction, type of myocardial infarction, coronary reperfusion, and medications at discharge (aspirin, P2Y12 inhibitors, beta-blockers, and statins).
Unadjusted event rate.
Re-hospitalization due to heart failure.