Table 2.
Incidence rates and adjusted hazard ratios and 95% confidence intervals for coronary heart disease events, myocardial infarction and fatal coronary heart disease events according to diabetes and prevalent coronary heart disease status at baseline
| Prevalent CHD only§ |
Diabetes only‖ |
Diabetes and prevalent CHD |
Neither diabetes nor prevalent CHD |
|
|---|---|---|---|---|
| CHD | ||||
|
Number of events |
332 | 248 | 272 | 533 |
|
Person-years of follow up |
16,654 | 21,993 | 7,703 | 99,848 |
|
Incidence rate (95% CI)* |
19.9 (17.8, 22.0) |
11.3 (9.9, 12.7) |
35.3 (31.1, 39.5) | 5.3 (4.9, 5.8) |
|
Hazard Ratio (95% CI)† |
1.0 (Reference) |
0.74 (0.62, 0.87) |
1.95 (1.66, 2.29) | 0.36 (0.31, 0.42) |
|
Hazard Ratio (95% CI)‡ |
1.0 (Reference) |
0.65 (0.54, 0.77) |
1.54 (1.30, 1.83) | 0.41 (0.35, 0.47) |
| MI | ||||
|
Number of events |
238 | 184 | 192 | 405 |
|
Person-years of follow up |
16,654 | 21,993 | 7,703 | 99,848 |
|
Incidence rate (95% CI)* |
14.3 (12.5, 16.1) |
8.4 (7.2, 9.6) |
24.9 (21.4, 28.4) | 4.1 (3.7, 4.5) |
|
Hazard Ratio (95% CI)† |
1.0 (Reference) |
0.79 (0.65, 0.97) |
1.95 (1.61, 2.37) | 0.38 (0.32, 0.45) |
|
Hazard Ratio (95% CI)‡ |
1.0 (Reference) |
0.70 (0.57, 0.87) |
1.54 (1.26, 1.89) | 0.43 (0.36, 0.51) |
| Fatal CHD | ||||
|
Number of events |
132 | 86 | 112 | 176 |
|
Person-years of follow up |
16,654 | 21,993 | 7,703 | 99,848 |
|
Incidence rate (95% CI)* |
7.9 (6.6, 9.3) | 3.9 (3.1, 4.7) |
14.5 (11.8, 17.2) | 1.8 (1.5, 2.0) |
|
Hazard Ratio (95% CI)† |
1.0 (Reference) |
0.62 (0.47, 0.83) |
2.02 (1.56, 2.60) | 0.31 (0.25, 0.40) |
|
Hazard Ratio (95% CI)‡ |
1.0 (Reference) |
0.53 (0.40, 0.71) |
1.57 (1.20, 2.06) | 0.34 (0.27, 0.44) |
Abbreviations: CHD, coronary heart disease events; MI, myocardial infarction; CHD only; prevalent coronary heart disease; diabetes and CHD, diabetes and prevalent coronary heart disease; neither diabetes nor CHD, neither diabetes nor prevalent coronary heart disease; CI, confidence interval
Per 1,000 person years
Adjusted for age (continuous), race (categorical), sex (categorical) and region of residence (categorical).
Adjusted for model 1 covariates, income (categorical) and education (categorical), systolic and diastolic blood pressure (continuous), hypertension (hypertensive based on SBP, DBP and self-reported use of antihypertensive medications) (categorical),cigarette smoking (categorical), total cholesterol (continuous), HDL cholesterol (continuous), triglycerides (continuous) and use of other medications (aspirin; statins; ACE inhibitors or ARBs) (categorical), BMI (continuous), physical activity (categorical), C-reactive protein (categorical), estimated glomerular filtration rate (categorical), urinary albumin to creatinine ratio (categorical).
CHD was assessed using ECG evidence of MI or self-report of MI or revascularization.
Diabetes was defined as blood glucose (fasting ≥ 126 mg/dL or non-fasting ≥ 200 mg/dL) or self-reported use of diabetes medication.