Reduction of Morbidity and Mortality by Statins, Angiotensin-Converting Enzyme Inhibitors, and Angiotensin Receptor Blockers in Patients With Chronic Obstructive Pulmonary Disease
G.B. John Mancini, MD, FRCP(C), FACC*,*,
Mahyar Etminan, PharmD, MSc
,
Bin Zhang, MSc
,
Linda E. Levesque, BScPhm, MSc
,
J. Mark FitzGerald, MD, FRCP(C)
and
James M. Brophy, MD, PhD, FRCP(C), FACC
* Division of Cardiology, Vancouver Hospital, Jack Bell Research Centre, University of British Columbia, Vancouver, British Columbia, Canada
Division of Respiratory Medicine, Vancouver Hospital, Jack Bell Research Centre, University of British Columbia, Vancouver, British Columbia, Canada
Centre for Clinical Epidemiology and Evaluation, Vancouver Hospital, Jack Bell Research Centre, University of British Columbia, Vancouver, British Columbia, Canada
Departments of Medicine, Epidemiology, and Biostatistics, McGill University Health Centre, McGill University, Montreal, Quebec, Canada

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Figure 1 Fully adjusted risk ratios are plotted for the end points of hospitalization for chronic obstructive pulmonary disease (COPD), myocardial infarction (MI), death, and MI or death. Treatments analyzed were angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), statins (hydroxymethylglutaryl CoA reductase inhibitors [HMG-CoA]), and the combination of statins with ACE inhibitors or ARBs (combination) in the population of COPD patients with prior revascularization (high risk). Results including steroid users are in the right panel.
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Figure 2 Fully adjusted risk ratios are plotted for the end points of hospitalization for chronic obstructive pulmonary disease (COPD), myocardial infarction (MI), death, and MI or death. Treatments analyzed were angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), statins (hydroxymethylglutaryl CoA reductase inhibitors [HMG-CoA]), and the combination of statins with ACE inhibitors or ARBs (combination) in the population of COPD patients without previous MI and newly treated with nonsteroidal anti-inflammatory drugs (low risk). Results including steroid users are in the right panel.
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Copyright © 2006 by the American College of Cardiology Foundation.