Table 4.
Factors | ACEI/ARB | Antiplatelet | Beta-blocker | Statin |
---|---|---|---|---|
Patient | Young age (<55) ↑29 or NS21 | Increasing age ↑34 | Increasing age ↑34 | |
Sex: male (NS)21 | Sex: male ↑34 | Sex: male (NS)34 | ||
Non-white (vs. White) ↑23 | Non-white (vs. White) ↑23 | Non-white (vs. White) ↑23 | ||
Asian (vs. Non-Asian) ↑25 | US geographic region: West ↓21 | |||
Socioeconomic | Low income (NS)34 | Low income (NS)34 | ||
Health System | Reimbursement type (NS)21 | |||
Specialty of attending physician (NS)34 | Specialty of attending physician (NS)34 | |||
Therapy | Prior use of clopidogrel ↑29 | Prior use of beta-blocker ↓34 | Prior use of statin ↓34 | |
Prior use of beta-blockers, statins, ACE inhibitors ↓29 | ||||
Medication received during baseline: Statin ↓21 | Concomitant statin ↓34 | Concomitant beta-blocker ↓34 | ||
Medication received during baseline: anticoagulant ↑21 | Concomitant ACE inhibitors ↓34 | Concomitant ACE inhibitors ↓34 | ||
Prior PCI procedure ↑21 | Post-MI revascularization ↑34 | Post-MI revascularization ↓34 | ||
PCI without stenting during hospitalization ↑29 | ||||
Condition | Diabetes ↑29 | Diabetes (NS)34 | Diabetes (NS)34 | |
Atrial Fibrillation (NS)29 | Cardiac dysrhythmia ↑34 | Cardiac dysrhythmia (NS)34 | ||
History of bleeding ↑21 | ||||
Depression ↑21 or NS29 | Post-MI: psychiatric illnesses ↑34 | Post-MI: psychiatric illnesses ↑34 | ||
COPD ↑29 | Post-MI: Respiratory illness ↑34 | Post-MI Respiratory illness (NS)34 | ||
Post MI: Cancer ↑34 | Post MI: Cancer (NS)34 | |||
Any prior hospitalization ↑29 | Increasing numbers of recurrent admissions post discharge↑34 | Increasing numbers of recurrent admissions post discharge↑34 | ||
Renal disease (NS)29 | Acute renal failure (NS)34 | Acute renal failure (NS)34 | ||
Chronic renal failure (NS)34 | Chronic renal failure (NS)34 | |||
Hypertension (NS)29 | Other conditions† (NS)34 | Other conditions† (NS)34 | ||
Charlson/Deyo Comorbidity Index (2+ vs. ≤1) (NS)21 | ||||
UA/NSTEMI (vs. STEMI/other) (NS)29 |
↑: significantly increased; ↓ significantly decreased; NS: not significant
Other conditions include: shock, pulmonary edema, congestive heart failure, cerebrovascular disease, cancer, post-MI: ischemic heart disease, post MI: endocrine illness, post MI: apoplexia (MI=myocardial infraction)