Research Article

Retinopathy, Neuropathy, and Subsequent Cardiovascular Events in Patients with Type 2 Diabetes and Acute Coronary Syndrome in the ELIXA: The Importance of Disease Duration

Table 2

Multivariable modeling.

Hazard ratio (95% CI)Primary composite endpoint eventsCV composite endpoint eventsCardiovascular death eventsMyocardial infarction eventsStroke eventsHeart failure hospitalization eventsDeath events

UnivariateRetinopathy1.44 (1.19–1.75)1.57 (1.31–1.88)1.58 (1.17–2.13)1.38 (1.08–1.76)1.56 (0.97–2.51)2.03 (1.48–2.78)1.65 (1.28–2.12)
Neuropathy1.33 (1.12–1.57)1.38 (1.19–1.62)1.29 (0.99–1.68)1.26 (1.02–1.54)1.59 (1.07–2.37)1.71 (1.30–2.27)1.43 (1.15–1.78)
T2DM duration (per 5 years)1.17 (1.13–1.22) 1.19 (1.15–1.23)1.22 (1.16–1.29)1.19 (1.14–1.25)1.08 (0.98–1.19)1.30 (1.23–1.38)1.22 (1.17–1.28)

Model 1Retinopathy1.07 (0.86–1.32)1.13 (0.94–1.31)1.12 (0.80–1.56)1.00 (0.77–1.31)1.27 (0.74–2.16)1.21 (0.85–1.73)1.13 (0.85–1.50)
Neuropathy1.10 (0.92–1.31)1.11 (0.94–1.31)1.01 (0.76–1.34)1.02 (0.82–1.28)1.43 (0.93–2.20)1.23 (0.90–1.66)1.12 (0.88–1.42)
T2DM duration (per 5 years)1.16 (1.12–1.21)1.18 (1.14–1.22)1.21 (1.14–1.29)1.19 (1.14–1.25)1.04 (0.94–1.16)1.28 (1.20–1.36)1.21 (1.15–1.27)

Model 2Retinopathy1.07 (0.86–1.33)1.13 (0.92–1.38)1.12 (0.80–1.57)1.00 (0.76–1.32)1.28 (0.75–2.19)1.15 (0.81–1.65)1.15 (0.87–1.53)
Neuropathy1.02 (0.85–1.23)0.99 (0.84–1.18)0.91 (0.68–1.22)1.00 (0.78–1.24)1.27 (0.82–1.99)0.96 (0.70–1.31)1.03 (0.81–1.31)
T2DM duration (per 5 years)1.10 (1.05–1.15)1.12 (1.07–1.16)1.14 (1.07–1.22)1.13 (1.08–1.20)0.95 (0.85–1.07)1.21 (1.13–1.30)1.13 (1.07–1.19)

Primary composite endpoint: CV death, nonfatal MI, stroke, or hospitalization for unstable angina; CV composite endpoint: CV death, nonfatal MI, stroke, hospitalization for heart failure (HF); . Univariate: adjusted for randomized study treatment only; model 1: adjusted for retinopathy, neuropathy, T2DM duration, and randomized study treatment; model 2: model 1+ age, sex, race, BMI, baseline HbA1c, smoking, history of hypertension, heart rate, total cholesterol, LDL cholesterol, and triglycerides; .