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. 2022 Apr 13;20(2):2642. doi: 10.18549/PharmPract.2022.2.2642

Table 3.

Prescribed medications stratified by chronic kidney disease (CKD) before the exclusion of those intolerable to GDMT

Characteristic, n (%) unless specified otherwise All (N = 171) CKD p-value
No (n = 59) Yes (n = 112)
Beta blockers (168/171) 149 (89%) 51 (86%) 98 (90%) 0.498
Bisoprolol 68 (40%) 25 (42%) 43 (39%)
Carvedilol 81 (48%) 26 (44%) 55 (50%)
ACEIs (168/171) 69 (41%) 28 (48%) 41 (38%) 0.183
Lisinopril 69 (41%) 28 (48%) 41 (38%)
ARBs (166/171) 28 (17%) 13 (22%) 15 (14%) 0.162
Irbesartan 18 (%) 9 (16%) 9 (8.3%)
Valsartan 10 (%) 4 (6.9%) 6 (5.6%)
Sacubitril/valsartan (166/171) 6 (3.6%) 2 (3.5%) 4 (3.7%) 1.000
RAS blockers (166/171) 102 (61%) 43 (74%) 59 (55%) 0.014
Hydralazine (166/171) 31 (17%) 2 (3.5%) 29 (27%) <0.001
Oral nitrate (166/171) 31 (17%) 4 (6.9%) 27 (25%) 0.004
HYD/ISDN (166/171) 26 (16%) 2 (3.5%) 24 (22%) 0.001
RAS / HYD/ISDN (167/171) 128 (77%) 45 (78%) 83 (76%) 0.834
MRAs (166/171) 78 (47%) 35 (60%) 43 (40%) 0.012
Spironolactone 77 (47%) 35 (60%) 42 (39%)
Eplerenone 1 (<0.1%) 0 1 (0.1%)
Triple GDMT regimen (165/171) 67 (41%) 31 (54%) 36 (33%) 0.009
Frusemide 142 (83%) 47 (80%) 95 (85%) 0.393
Calcium channel blocker 17 (9.9%) 3 (5.1%) 14 (13%) 0.179
Clopidogrel 43 (25%) 16 (27%) 27 (24%) 0.666
Aspirin (166/171) 79 (48%) 19 (33%) 60 (56%) 0.004
Statins 113 (66%) 33 (56%) 80 (71%) 0.042

GDMT, guideline-directed medical therapy that include a beta blocker, a RAS blocker (or a hydralazine-nitrate combination), and an MRA; ACEIs, angiotensin-converting-enzyme inhibitors; ARBs, angiotensin receptor blockers; RAS, renin-angiotensin-system blockers; HYD/ISDN, hydralazine-nitrate combination; MRAs, mineralocorticoid receptor antagonist.

Column percentages might not add up to 100% due to rounding off.