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. 2012 Jun 12;9(6):e1001237. doi: 10.1371/journal.pmed.1001237

Table 2. Coronary heart disease deaths prevented or postponed due to changes in treatment uptake between 2000 and 2007 in England and stratified by deprivation quintiles.

Treatment by Patient Groups England: DPP By IMD: DPP
n Percent Percent Lower limita Percent Upper limita n Most Affluent n IMDQ2 n IMDQ3 n IMDQ4 n Most Deprived
STEMI b −130 −0.3 −0.8 0.5 −6 −27 −28 −31 −38
Thrombolysis −118 −22 −23 −21 −23 −29
Aspirin 24 5 4 5 3 7
B-blocker 4 1 0 1 1 2
ACE inhibitor or ARB 5 0 0 2 1 2
Clopidogrel 65 12 14 14 13 12
Primary PCI 139 30 28 28 27 25
Primary CABG 1 0 0 0 0 0
CPR in hospitalc −252 −33 −51 −57 −53 −57
NSTEACS b 295 0.8 0.0 2.2 57 59 62 53 65
Aspirin and heparin 341 54 68 68 63 88
Aspirin alone −114 −15 −24 −21 −21 −31
PG IIB/IIIA inhibitors −1 −2 −1 0 0 2
ACE inhibitor or ARB 44 6 8 9 10 10
B-blocker 27 5 5 6 5 6
Clopidogrel 203 36 40 46 41 40
CABG surgery 1 2 1 0 0 −1
PCI 54 11 10 12 12 10
CPR in hospitalc −259 −40 −48 −58 −55 −58
Secondary prevention post MI b 3,510 9.2 7.2 11.4 640 775 746 711 639
Aspirin 351 65 69 76 87 55
B-blocker 862 158 197 194 167 146
ACE inhibitor or ARB 903 166 200 190 175 172
Statin 1,303 241 280 269 268 245
Warfarin 92 8 30 17 15 21
Rehabilitationd 0 0 0 0 0 0
Secondary prevention post revascularisation b 590 1.5 1.2 1.9 112 121 128 117 110
Aspirin 45 10 10 11 8 7
B-blocker 154 29 31 34 31 30
ACE inhibitor or ARB 179 35 37 37 34 36
Statin 174 31 36 38 37 32
Warfarin 0 0 0 1 0 −1
Rehabilitation (post CABG)d 0 0 0 0 0 0
Rehabilitation (post PTCA) 36 7 7 7 7 7
Chronic stable CAD b 4,835 12.7 9.6 16.8 851 1,007 1,015 1,016 955
Aspirin in community 818 139 159 176 179 165
Statin in community 2,488 443 523 526 510 485
ACE inhibitor or ARB 1,292 241 281 268 261 241
CABG surgery 236 27 44 45 57 63
Heart failure - hospital b 250 0.7 0.5 0.8 42 47 53 59 51
ACE inhibitor 49 8 9 10 10 11
B-blocker 39 6 8 8 9 9
Spironolactone 37 6 7 8 8 8
Aspirin 126 21 22 27 32 23
Heart failure - community b 3,335 8.8 7.3 10.4 564 689v 732 711 641
ACE inhibitor or ARB 737 125 158 171 146 137
B-blocker 1,592 284 325 353 338 292
Spironolactone 617 105 134 120 129 129
Aspirin 389 50 72 88 97 83
Hypertension treatment b 1,800 4.7 1.8 9.9 357 411 408 345 277
Hyperlipidemia treatment (statins) b 5,300 13.9 5.0 31.8 1,054 975 1,305 1,194 772
Total treatment contribution b 19,780 52.0 40.2 69.7 3,670 4,055 4,420 4,166 3,471

Subtotals for England (column 1) have been rounded to nearest 5.

a

The 95% uncertainty interval corresponds to the lower (2.5th percentile) and upper (97.5th percentile) limits of the uncertainty analysis. These are shown to indicate range around the central estimate of percent of DPPs explained (column 3).

b

Sub-totals (in rows) for CHD patient groups.

c

We have assumed no change in cardiopulmonary resuscitation (CPR) uptake in the community between 2000 and 2007. Their contribution to DPPs have therefore been set to zero.

d

No change in uptake between 2000 and 2007.

Abbreviations: B-blocker, beta-blocker; CABG, coronary artery bypass graft; CAD, coronary artery disease; IMD, index of multiple deprivation; MI, myocardial infarction; NSTEACS, non-ST elevation acute coronary syndrome; PCI, percutaneous coronary intervention; PG, platelet glycoprotein; PTCA, percutaneous transluminal coronary angioplasty; STEMI, ST elevation myocardial infarction.