Fig. 3.

Association of comorbidities with receipt of optimal AMI care. Missing data multiply imputed. Patients with each of the chronic conditions may be subject to diagnosis of the 6 other chronic conditions. *Adjusted for GRACE risk, sex, year of diagnosis, smoking status, IMD score and all seven chronic conditions; multiple imputation by chained equations was used to produce 10 imputed datasets to minimise potential bias due to missing data. COPD, chronic obstructive pulmonary disease; IMD, index of multiple deprivation (continuous); Global Registry of Acute Coronary Events (GRACE) risk score; patients were classified as ineligible if a treatment was recorded in MINAP as contraindicated, not indicated, or not applicable; if the patient declined treatment; or if the patient was hospitalised prior to the guideline treatment recommendation