Table 4

Clinical outcome according to RASI therapy in patients with IMR

TreatmentUnivariate analysisMultivariate analysisIPTW
RASI(+)
(n=395)
RASI(−)
(n=156)
Unadjusted
(95% CI)
P valueAdjusted HR
(95% CI)
P valueAdjusted HR
(95% CI)
P value
All-cause death34 (9)39 (25)0.27(0.17 to 0.43)<0.0010.44(0.27 to 0.72)0.001*0.43(0.25 to 0.74)0.002
Cardiac death10 (3)21 (13)0.15(0.07 to 0.32)<0.0010.33(0.14 to 0.76)0.009*0.28(0.12 to 0.66)0.004
Composite outcome†29 (7)31 (20)0.30(0.18 to 0.50)<0.0010.53(0.30 to 0.92)0.025‡0.51(0.28 to 0.95)0.033
  • *Covariates include peak CK, Killip classification, serum creatinine, prior MI, moderate/severe MR and β-blocker. 

  • †Cardiac death or heart failure.

  • ‡Adjusted with hypertension, peak CK, Killip classification, serum creatinine, prior MI, moderate/severe MR and β-blocker.

  • CK, creatine kinase; IMR, ischaemic mitral regurgitation; IPTW, Inverse probability of treatment weighted; MI, myocardial infarction; RASI, renin–angiotensin system inhibitor.