Table 2. Association of H2RA Use at Baseline and HF.
| Adjusted Risk of HF in H2RA Users Relative to Nonusers (N = 6,378) | |||
|---|---|---|---|
| Hazard Ratio | 95% CI | p Value | |
| Unadjusted | 0.52 | 0.23 to 1.18 | 0.12 |
| Limited adjustment* | 0.40 | 0.18 to 0.90 | 0.03 |
| Full adjustment† | 0.38 | 0.17 to 0.86 | 0.02 |
| Full adjustment† + comedication use‡ | 0.35 | 0.16 to 0.80 | 0.01 |
| Full adjustment† + NT-proBNP & troponin T (n = 5,285) | 0.18 | 0.05 to 0.62 | 0.007 |
| Restricted to H2RA users and PPI users§ (n = 698) | 0.42 | 0.15 to 1.16 | 0.09 |
| Restricted to PS matched participants§ (n = 593) | 0.31 | 0.11 to 0.86 | 0.03 |
Limited adjustment accounts for age, sex, race/ethnicity, height, weight, and study site.
Full adjustment accounts for the limited model and education, cigarette smoking, pack-years, hypertension, systolic blood pressure, diabetes, cholesterol, glucose, and daily exercise.
Comedication use included NSAIDs (aspirin, Cox-2 inhibitors, and other nonsteroidal inflammatory medications), steroids, beta-blockers (± diuretics), ACE inhibitors (± diuretics), ARBs (± diuretics), any diuretic alone (including potassium-sparking diuretics), leukotriene antagonists, and digoxin.
Participants in the restricted cohorts were considered in models with full adjustment.
CI = confidence interval; PPI = proton pump inhibitor; PS = propensity score; other abbreviations as in Table 1.