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David J. Addley, Deborah Williams, Kyoung S. Kim, Charles L. Curry, P-245: Pulse pressure as a predictor of mortality in elderly survivors of acute myocardial infarction treated with calcium channel blockers, American Journal of Hypertension, Volume 14, Issue S1, April 2001, Pages 110A–111A, https://doi.org/10.1016/S0895-7061(01)01435-2
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Abstract
We reviewed data from the Cooperative Cardiovascular Project (CCP). This project is a database of one of the largest number of elderly patients with an acute myocardial infarction (AMI). Pulse pressure data was analyzed by quartile to determine the impact of Calcium channel blockers (CCBs) on survival of elderly patients. Data was not analyzed as to specific types of CCBs. (See Table)
Pulse pressure . | receivng CCB . | not receivng CCB . | difference in risk . | relative risk . | 95% confidence interval . |
---|---|---|---|---|---|
white male 18,061 | |||||
≤46mmHG | 4644 | 14640 | 0.1 | 1.003 | 1.000-1.005 |
46.1-55mmHG | 4135 | 9890 | 3.0 | 1.161 | 1.158-1.163 |
55.1-66mmHG | 4706 | 9361 | 2.2 | 1.34 | 1.132-1.137 |
66.1-157mmHG | 4576 | 7187 | 3.0 | 1.157 | 1.155-1.159 |
white female 17,664 | |||||
≤46mmHG | 3218 | 8766 | 1.1 | 1.048 | 1.046-1.051 |
46.1-55mmHG | 3518 | 7550 | 1.8 | 1.086 | 1.083-1.088 |
55.1-66mmHG | 4695 | 8406 | 1.2 | 1.055 | 1.179-1.182 |
66.1-157mmHG | 6233 | 8762 | 4.4 | 1.181 | 1.179-1.182 |
black male 3,842 | |||||
≤46mmHG | 248 | 736 | -0.9 | 0.968 | 0.939-0.996 |
46.1-55mmHG | 252 | 448 | 1.7 | 1.066 | 1.036-1.095 |
55.1-66mmHG | 260 | 455 | -2.6 | 0.902 | 0.870-0.934 |
66.1-157mmHG | 287 | 396 | -2.6 | 0.915 | 0.888-0.942 |
black female 2,392 | |||||
≤46mmHG | 285 | 655 | -1.1 | 0.961 | 0.937-0.986 |
46.1-55mmHG | 284 | 520 | -9.3 | 0.721 | 0.693-0.749 |
55.1-66mmHG | 408 | 607 | -1.8 | 0.934 | 0.913-0.954 |
66.1-157mmHG | 593 | 670 | -4.9 | 0.857 | 0.843-0.870 |
Pulse pressure . | receivng CCB . | not receivng CCB . | difference in risk . | relative risk . | 95% confidence interval . |
---|---|---|---|---|---|
white male 18,061 | |||||
≤46mmHG | 4644 | 14640 | 0.1 | 1.003 | 1.000-1.005 |
46.1-55mmHG | 4135 | 9890 | 3.0 | 1.161 | 1.158-1.163 |
55.1-66mmHG | 4706 | 9361 | 2.2 | 1.34 | 1.132-1.137 |
66.1-157mmHG | 4576 | 7187 | 3.0 | 1.157 | 1.155-1.159 |
white female 17,664 | |||||
≤46mmHG | 3218 | 8766 | 1.1 | 1.048 | 1.046-1.051 |
46.1-55mmHG | 3518 | 7550 | 1.8 | 1.086 | 1.083-1.088 |
55.1-66mmHG | 4695 | 8406 | 1.2 | 1.055 | 1.179-1.182 |
66.1-157mmHG | 6233 | 8762 | 4.4 | 1.181 | 1.179-1.182 |
black male 3,842 | |||||
≤46mmHG | 248 | 736 | -0.9 | 0.968 | 0.939-0.996 |
46.1-55mmHG | 252 | 448 | 1.7 | 1.066 | 1.036-1.095 |
55.1-66mmHG | 260 | 455 | -2.6 | 0.902 | 0.870-0.934 |
66.1-157mmHG | 287 | 396 | -2.6 | 0.915 | 0.888-0.942 |
black female 2,392 | |||||
≤46mmHG | 285 | 655 | -1.1 | 0.961 | 0.937-0.986 |
46.1-55mmHG | 284 | 520 | -9.3 | 0.721 | 0.693-0.749 |
55.1-66mmHG | 408 | 607 | -1.8 | 0.934 | 0.913-0.954 |
66.1-157mmHG | 593 | 670 | -4.9 | 0.857 | 0.843-0.870 |
Pulse pressure . | receivng CCB . | not receivng CCB . | difference in risk . | relative risk . | 95% confidence interval . |
---|---|---|---|---|---|
white male 18,061 | |||||
≤46mmHG | 4644 | 14640 | 0.1 | 1.003 | 1.000-1.005 |
46.1-55mmHG | 4135 | 9890 | 3.0 | 1.161 | 1.158-1.163 |
55.1-66mmHG | 4706 | 9361 | 2.2 | 1.34 | 1.132-1.137 |
66.1-157mmHG | 4576 | 7187 | 3.0 | 1.157 | 1.155-1.159 |
white female 17,664 | |||||
≤46mmHG | 3218 | 8766 | 1.1 | 1.048 | 1.046-1.051 |
46.1-55mmHG | 3518 | 7550 | 1.8 | 1.086 | 1.083-1.088 |
55.1-66mmHG | 4695 | 8406 | 1.2 | 1.055 | 1.179-1.182 |
66.1-157mmHG | 6233 | 8762 | 4.4 | 1.181 | 1.179-1.182 |
black male 3,842 | |||||
≤46mmHG | 248 | 736 | -0.9 | 0.968 | 0.939-0.996 |
46.1-55mmHG | 252 | 448 | 1.7 | 1.066 | 1.036-1.095 |
55.1-66mmHG | 260 | 455 | -2.6 | 0.902 | 0.870-0.934 |
66.1-157mmHG | 287 | 396 | -2.6 | 0.915 | 0.888-0.942 |
black female 2,392 | |||||
≤46mmHG | 285 | 655 | -1.1 | 0.961 | 0.937-0.986 |
46.1-55mmHG | 284 | 520 | -9.3 | 0.721 | 0.693-0.749 |
55.1-66mmHG | 408 | 607 | -1.8 | 0.934 | 0.913-0.954 |
66.1-157mmHG | 593 | 670 | -4.9 | 0.857 | 0.843-0.870 |
Pulse pressure . | receivng CCB . | not receivng CCB . | difference in risk . | relative risk . | 95% confidence interval . |
---|---|---|---|---|---|
white male 18,061 | |||||
≤46mmHG | 4644 | 14640 | 0.1 | 1.003 | 1.000-1.005 |
46.1-55mmHG | 4135 | 9890 | 3.0 | 1.161 | 1.158-1.163 |
55.1-66mmHG | 4706 | 9361 | 2.2 | 1.34 | 1.132-1.137 |
66.1-157mmHG | 4576 | 7187 | 3.0 | 1.157 | 1.155-1.159 |
white female 17,664 | |||||
≤46mmHG | 3218 | 8766 | 1.1 | 1.048 | 1.046-1.051 |
46.1-55mmHG | 3518 | 7550 | 1.8 | 1.086 | 1.083-1.088 |
55.1-66mmHG | 4695 | 8406 | 1.2 | 1.055 | 1.179-1.182 |
66.1-157mmHG | 6233 | 8762 | 4.4 | 1.181 | 1.179-1.182 |
black male 3,842 | |||||
≤46mmHG | 248 | 736 | -0.9 | 0.968 | 0.939-0.996 |
46.1-55mmHG | 252 | 448 | 1.7 | 1.066 | 1.036-1.095 |
55.1-66mmHG | 260 | 455 | -2.6 | 0.902 | 0.870-0.934 |
66.1-157mmHG | 287 | 396 | -2.6 | 0.915 | 0.888-0.942 |
black female 2,392 | |||||
≤46mmHG | 285 | 655 | -1.1 | 0.961 | 0.937-0.986 |
46.1-55mmHG | 284 | 520 | -9.3 | 0.721 | 0.693-0.749 |
55.1-66mmHG | 408 | 607 | -1.8 | 0.934 | 0.913-0.954 |
66.1-157mmHG | 593 | 670 | -4.9 | 0.857 | 0.843-0.870 |
The data showed that at matching Pulse pressure quartile elderly African-American men and elderly African-American women had a lower relative risk of death than their white counterparts while receiving CCBs in the two year period following AMI. This data suggests a trend in survival benefit of elderly African-Americans treated with CCBs post-AMI.