Characteristic . | Entire study cohort . | Propensity-matched cohort . | ||
---|---|---|---|---|
. | Non-ACEI/ARB users (N = 17 702) . | ACEI/ARB users (N = 10 918) . | Non-ACEI/ARB users (N = 7587) . | ACEI/ARB users (N = 7587) . |
Cohort entry criteria, % | ||||
Myocardial infarction | 39.4 | 46.5 | 43.2 | 45.4 |
PCI | 41.5 | 38.9 | 37.0 | 39.6 |
CABG | 19.0 | 14.6 | 19.8 | 15.0 |
Demographics | ||||
Age, mean ± SD | 78.1 ± 7.0 | 78.3 ± 7.0* | 78.3 ± 7.1 | 78.2 ± 7.0 |
Female, % | 72.2 | 74.2* | 75.0 | 75.5 |
White race, % | 91.4 | 90.7 | 91.1 | 92.0 |
Co-morbid conditions, % | ||||
Prior myocardial infarction | 24.1 | 21.6* | 26.6 | 21.9* |
Congestive heart failure | 44.8 | 58.0* | 59.0 | 57.5 |
Stroke | 7.6 | 7.1 | 9.0 | 8.0* |
Peripheral vascular disease | 5.5 | 4.6* | 6.5 | 6.0 |
Hypertension | 82.0 | 86.7* | 88.7 | 86.4* |
Diabetes | 41.5 | 48.2* | 49.4 | 47.9 |
Chronic kidney disease | 27.8 | 25.0* | 35.6 | 25.4* |
Previous CABG | 0.6 | 0.7 | 0.8 | 0.6 |
Previous PCI | 3.3 | 3.0 | 3.9 | 2.8* |
Pre-hospital medication use, % | ||||
Prior statin | 34.0 | 39.1* | 38.1 | 38.2 |
ACEI/ARB | 30.9 | 80.6* | 72.1 | 72.1 |
Clopidogrel | 24.7 | 29.1* | 25.4 | 27.4* |
Beta-blocker | 56.5 | 61.6* | 58.2 | 59.6 |
Calcium-channel blocker | 53.4 | 50.2* | 52.7 | 50.4* |
Digoxin | 9.4 | 15.0* | 12.8 | 14.3* |
Diuretics | 9.6 | 12.5* | 12.5 | 12.4 |
Fibrate | 3.7 | 3.4 | 3.9 | 3.1* |
Nitrates | 62.9 | 66.9* | 63.5 | 64.4 |
Warfarin | 6.8 | 8.6* | 6.8 | 8.1* |
Post-hospital medication use, % | ||||
Clopidogrel | 19.4 | 27.7* | 19.5 | 29.3* |
Beta-blocker | 39.2 | 51.6* | 37.0 | 52.5* |
Calcium-channel blocker | 24.2 | 20.6* | 20.8 | 20.7 |
Digoxin | 4.9 | 11.6* | 5.4 | 11.9* |
Diuretics | 2.4 | 5.1* | 2.8 | 5.0* |
Fibrate | 1.2 | 1.5 | 1.1 | 1.4 |
Nitrates | 37.6 | 49.6* | 35.0 | 49.7* |
Statin | 20.9 | 32.1* | 20.6 | 32.9* |
Warfarin | 4.3 | 6.8* | 4.3 | 7.0* |
Hospital characteristics | ||||
Teaching hospital, % | 63.0 | 61.2* | 62.8 | 63.4 |
Length of stay, mean ± SD | 7.1 ± 6.2 | 6.8 ± 4.8* | 7.6 ± 6.4 | 6.9 ± 4.8* |
Mean follow-up, years | 4.0 ± 3.1 | 3.5 ± 2.7* | 3.4 ± 2.8 | 3.5 ± 2.8* |
Characteristic . | Entire study cohort . | Propensity-matched cohort . | ||
---|---|---|---|---|
. | Non-ACEI/ARB users (N = 17 702) . | ACEI/ARB users (N = 10 918) . | Non-ACEI/ARB users (N = 7587) . | ACEI/ARB users (N = 7587) . |
Cohort entry criteria, % | ||||
Myocardial infarction | 39.4 | 46.5 | 43.2 | 45.4 |
PCI | 41.5 | 38.9 | 37.0 | 39.6 |
CABG | 19.0 | 14.6 | 19.8 | 15.0 |
Demographics | ||||
Age, mean ± SD | 78.1 ± 7.0 | 78.3 ± 7.0* | 78.3 ± 7.1 | 78.2 ± 7.0 |
Female, % | 72.2 | 74.2* | 75.0 | 75.5 |
White race, % | 91.4 | 90.7 | 91.1 | 92.0 |
Co-morbid conditions, % | ||||
Prior myocardial infarction | 24.1 | 21.6* | 26.6 | 21.9* |
Congestive heart failure | 44.8 | 58.0* | 59.0 | 57.5 |
Stroke | 7.6 | 7.1 | 9.0 | 8.0* |
Peripheral vascular disease | 5.5 | 4.6* | 6.5 | 6.0 |
Hypertension | 82.0 | 86.7* | 88.7 | 86.4* |
Diabetes | 41.5 | 48.2* | 49.4 | 47.9 |
Chronic kidney disease | 27.8 | 25.0* | 35.6 | 25.4* |
Previous CABG | 0.6 | 0.7 | 0.8 | 0.6 |
Previous PCI | 3.3 | 3.0 | 3.9 | 2.8* |
Pre-hospital medication use, % | ||||
Prior statin | 34.0 | 39.1* | 38.1 | 38.2 |
ACEI/ARB | 30.9 | 80.6* | 72.1 | 72.1 |
Clopidogrel | 24.7 | 29.1* | 25.4 | 27.4* |
Beta-blocker | 56.5 | 61.6* | 58.2 | 59.6 |
Calcium-channel blocker | 53.4 | 50.2* | 52.7 | 50.4* |
Digoxin | 9.4 | 15.0* | 12.8 | 14.3* |
Diuretics | 9.6 | 12.5* | 12.5 | 12.4 |
Fibrate | 3.7 | 3.4 | 3.9 | 3.1* |
Nitrates | 62.9 | 66.9* | 63.5 | 64.4 |
Warfarin | 6.8 | 8.6* | 6.8 | 8.1* |
Post-hospital medication use, % | ||||
Clopidogrel | 19.4 | 27.7* | 19.5 | 29.3* |
Beta-blocker | 39.2 | 51.6* | 37.0 | 52.5* |
Calcium-channel blocker | 24.2 | 20.6* | 20.8 | 20.7 |
Digoxin | 4.9 | 11.6* | 5.4 | 11.9* |
Diuretics | 2.4 | 5.1* | 2.8 | 5.0* |
Fibrate | 1.2 | 1.5 | 1.1 | 1.4 |
Nitrates | 37.6 | 49.6* | 35.0 | 49.7* |
Statin | 20.9 | 32.1* | 20.6 | 32.9* |
Warfarin | 4.3 | 6.8* | 4.3 | 7.0* |
Hospital characteristics | ||||
Teaching hospital, % | 63.0 | 61.2* | 62.8 | 63.4 |
Length of stay, mean ± SD | 7.1 ± 6.2 | 6.8 ± 4.8* | 7.6 ± 6.4 | 6.9 ± 4.8* |
Mean follow-up, years | 4.0 ± 3.1 | 3.5 ± 2.7* | 3.4 ± 2.8 | 3.5 ± 2.8* |
SD, standard deviation.
*P< 0.05.
Characteristic . | Entire study cohort . | Propensity-matched cohort . | ||
---|---|---|---|---|
. | Non-ACEI/ARB users (N = 17 702) . | ACEI/ARB users (N = 10 918) . | Non-ACEI/ARB users (N = 7587) . | ACEI/ARB users (N = 7587) . |
Cohort entry criteria, % | ||||
Myocardial infarction | 39.4 | 46.5 | 43.2 | 45.4 |
PCI | 41.5 | 38.9 | 37.0 | 39.6 |
CABG | 19.0 | 14.6 | 19.8 | 15.0 |
Demographics | ||||
Age, mean ± SD | 78.1 ± 7.0 | 78.3 ± 7.0* | 78.3 ± 7.1 | 78.2 ± 7.0 |
Female, % | 72.2 | 74.2* | 75.0 | 75.5 |
White race, % | 91.4 | 90.7 | 91.1 | 92.0 |
Co-morbid conditions, % | ||||
Prior myocardial infarction | 24.1 | 21.6* | 26.6 | 21.9* |
Congestive heart failure | 44.8 | 58.0* | 59.0 | 57.5 |
Stroke | 7.6 | 7.1 | 9.0 | 8.0* |
Peripheral vascular disease | 5.5 | 4.6* | 6.5 | 6.0 |
Hypertension | 82.0 | 86.7* | 88.7 | 86.4* |
Diabetes | 41.5 | 48.2* | 49.4 | 47.9 |
Chronic kidney disease | 27.8 | 25.0* | 35.6 | 25.4* |
Previous CABG | 0.6 | 0.7 | 0.8 | 0.6 |
Previous PCI | 3.3 | 3.0 | 3.9 | 2.8* |
Pre-hospital medication use, % | ||||
Prior statin | 34.0 | 39.1* | 38.1 | 38.2 |
ACEI/ARB | 30.9 | 80.6* | 72.1 | 72.1 |
Clopidogrel | 24.7 | 29.1* | 25.4 | 27.4* |
Beta-blocker | 56.5 | 61.6* | 58.2 | 59.6 |
Calcium-channel blocker | 53.4 | 50.2* | 52.7 | 50.4* |
Digoxin | 9.4 | 15.0* | 12.8 | 14.3* |
Diuretics | 9.6 | 12.5* | 12.5 | 12.4 |
Fibrate | 3.7 | 3.4 | 3.9 | 3.1* |
Nitrates | 62.9 | 66.9* | 63.5 | 64.4 |
Warfarin | 6.8 | 8.6* | 6.8 | 8.1* |
Post-hospital medication use, % | ||||
Clopidogrel | 19.4 | 27.7* | 19.5 | 29.3* |
Beta-blocker | 39.2 | 51.6* | 37.0 | 52.5* |
Calcium-channel blocker | 24.2 | 20.6* | 20.8 | 20.7 |
Digoxin | 4.9 | 11.6* | 5.4 | 11.9* |
Diuretics | 2.4 | 5.1* | 2.8 | 5.0* |
Fibrate | 1.2 | 1.5 | 1.1 | 1.4 |
Nitrates | 37.6 | 49.6* | 35.0 | 49.7* |
Statin | 20.9 | 32.1* | 20.6 | 32.9* |
Warfarin | 4.3 | 6.8* | 4.3 | 7.0* |
Hospital characteristics | ||||
Teaching hospital, % | 63.0 | 61.2* | 62.8 | 63.4 |
Length of stay, mean ± SD | 7.1 ± 6.2 | 6.8 ± 4.8* | 7.6 ± 6.4 | 6.9 ± 4.8* |
Mean follow-up, years | 4.0 ± 3.1 | 3.5 ± 2.7* | 3.4 ± 2.8 | 3.5 ± 2.8* |
Characteristic . | Entire study cohort . | Propensity-matched cohort . | ||
---|---|---|---|---|
. | Non-ACEI/ARB users (N = 17 702) . | ACEI/ARB users (N = 10 918) . | Non-ACEI/ARB users (N = 7587) . | ACEI/ARB users (N = 7587) . |
Cohort entry criteria, % | ||||
Myocardial infarction | 39.4 | 46.5 | 43.2 | 45.4 |
PCI | 41.5 | 38.9 | 37.0 | 39.6 |
CABG | 19.0 | 14.6 | 19.8 | 15.0 |
Demographics | ||||
Age, mean ± SD | 78.1 ± 7.0 | 78.3 ± 7.0* | 78.3 ± 7.1 | 78.2 ± 7.0 |
Female, % | 72.2 | 74.2* | 75.0 | 75.5 |
White race, % | 91.4 | 90.7 | 91.1 | 92.0 |
Co-morbid conditions, % | ||||
Prior myocardial infarction | 24.1 | 21.6* | 26.6 | 21.9* |
Congestive heart failure | 44.8 | 58.0* | 59.0 | 57.5 |
Stroke | 7.6 | 7.1 | 9.0 | 8.0* |
Peripheral vascular disease | 5.5 | 4.6* | 6.5 | 6.0 |
Hypertension | 82.0 | 86.7* | 88.7 | 86.4* |
Diabetes | 41.5 | 48.2* | 49.4 | 47.9 |
Chronic kidney disease | 27.8 | 25.0* | 35.6 | 25.4* |
Previous CABG | 0.6 | 0.7 | 0.8 | 0.6 |
Previous PCI | 3.3 | 3.0 | 3.9 | 2.8* |
Pre-hospital medication use, % | ||||
Prior statin | 34.0 | 39.1* | 38.1 | 38.2 |
ACEI/ARB | 30.9 | 80.6* | 72.1 | 72.1 |
Clopidogrel | 24.7 | 29.1* | 25.4 | 27.4* |
Beta-blocker | 56.5 | 61.6* | 58.2 | 59.6 |
Calcium-channel blocker | 53.4 | 50.2* | 52.7 | 50.4* |
Digoxin | 9.4 | 15.0* | 12.8 | 14.3* |
Diuretics | 9.6 | 12.5* | 12.5 | 12.4 |
Fibrate | 3.7 | 3.4 | 3.9 | 3.1* |
Nitrates | 62.9 | 66.9* | 63.5 | 64.4 |
Warfarin | 6.8 | 8.6* | 6.8 | 8.1* |
Post-hospital medication use, % | ||||
Clopidogrel | 19.4 | 27.7* | 19.5 | 29.3* |
Beta-blocker | 39.2 | 51.6* | 37.0 | 52.5* |
Calcium-channel blocker | 24.2 | 20.6* | 20.8 | 20.7 |
Digoxin | 4.9 | 11.6* | 5.4 | 11.9* |
Diuretics | 2.4 | 5.1* | 2.8 | 5.0* |
Fibrate | 1.2 | 1.5 | 1.1 | 1.4 |
Nitrates | 37.6 | 49.6* | 35.0 | 49.7* |
Statin | 20.9 | 32.1* | 20.6 | 32.9* |
Warfarin | 4.3 | 6.8* | 4.3 | 7.0* |
Hospital characteristics | ||||
Teaching hospital, % | 63.0 | 61.2* | 62.8 | 63.4 |
Length of stay, mean ± SD | 7.1 ± 6.2 | 6.8 ± 4.8* | 7.6 ± 6.4 | 6.9 ± 4.8* |
Mean follow-up, years | 4.0 ± 3.1 | 3.5 ± 2.7* | 3.4 ± 2.8 | 3.5 ± 2.8* |
SD, standard deviation.
*P< 0.05.
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