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Cardiovascular Disease

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Page 1: Cardiovascular Disease
Page 2: Cardiovascular Disease
Page 3: Cardiovascular Disease

AMI: 3.6% CHF: 5.9% Arrhythmia/cardiac arrest: 24.3% Other cardiac: 1.7% CVA: 2.3% Infection: 10.0% Withdrawal: 10.8% Malignancy: 5.0% All other: 36.3%

AMI: 4.9%CHF: 5.0%Arrhythmia/cardiac arrest 26.5%Other cardiac: 1.9%CVA: 3.3%Infection: 10.9%Withdrawal: 10.5%Malignancy: 3.7%All other: 33.4%

Page 4: Cardiovascular Disease

91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10D

eath

s pe

r 1,0

00 p

atie

nt y

ears

0

20

40

60

80

100

Complex method

Simple method

2000 2005 2010

Dea

ths

per 1

,000

pat

ient

yea

rs

0

20

40

60

80

100

12020-44 45-64 65-74 75+

2000 2005 2010

Dea

ths

per 1

,000

pat

ient

yea

rs

0

20

40

60

80

100White Black/Af Am Other

2000 2005 2010D

eath

s pe

r1,0

00 p

atie

nt y

ears

0

20

40

60

80

100Hemodialysis Peritoneal dialysis

2000 2005 2010

Dea

ths

per 1

,000

pat

ient

yea

rs

0

20

40

60

80

100Diabetes Hypertension

GN Other

Page 5: Cardiovascular Disease

Months after initiation

0 1 2 3 4 5 6 7 8 9 10 11 120.00

0.05

0.10

0.15

0.20

0.25

Sudden cardiac death

CVD

non-CVD

Death

Prob

abili

ty

Months after initiation

0 1 2 3 4 5 6 7 8 9 10 11 120.00

0.02

0.04

0.06

0.08

0.10

White

Blk/Af Am

Other

Prob

abili

ty

Months after initiation

0 1 2 3 4 5 6 7 8 9 10 11 120.00

0.02

0.04

0.06

0.08

0.10

Hemodialysis

Peritoneal dialysis

Prob

abili

ty

Months after initiation

0 1 2 3 4 5 6 7 8 9 10 11 120.00

0.03

0.06

0.09

0.12

0.15

20-44

45-64

65-74

75+

Prob

abili

ty

Months after initiation

0 1 2 3 4 5 6 7 8 9 10 11 120.00

0.02

0.04

0.06

0.08

0.10 Diabetes Hypertension GN Other

Prob

abili

ty

Page 6: Cardiovascular Disease

92 94 96 98 00 02 04 06 08 10

Bars

: Num

ber o

f pat

ient

s (in

1,0

00s)

0.0

3.0

6.0

9.0

12.0

15.0

Line

: Per

cent

of p

atie

nts

0.0

0.2

0.4

0.6

0.8

1.0

1.2

2005 2006 2007 2008 2009 2010

Bars

: Num

ber o

f pat

ient

s

0

15

30

45

60

Line

: Per

cent

of p

atie

nts

0.000

0.003

0.006

0.009

0.012

0 6 12 18 24 30 36

Surv

ival

pro

babi

lity

0.0

0.2

0.4

0.6

0.8

1.0

Primary prevention Secondary prevention

Hemodialysis

Months after ICD/CRT-D

0 6 12 18 24 30 36 0 6 12 18 24 30 36

Peritoneal dialysis Transplant

Months

0 2 4 6 8 10 12 14 16 18 20 22 24

Surv

ival

pro

babi

lity

0.0

0.2

0.4

0.6

0.8

1.0

Primary prevention

Secondary prevention

92 94 96 98 00 02 04 06 08 10

Perc

ent o

f pat

ient

s

0.0

0.2

0.4

0.6

0.8

Hemodialysis

Peritoneal dialysis

Transplant

Page 7: Cardiovascular Disease

HD PD Tx

Rate

per

1,0

00 p

atie

nt y

ears

0

10

20

30

40

50

60

70Fatal Non-fatal

HD PD Tx HD PD Tx

2000 2005 2010

Months after AMI0 3 6 9 12 15 18 21 24

Cum

ulat

ive

prob

abili

ty o

f dea

th

0.0

0.2

0.4

0.6

0.8

1.0

1993 1998 2003 2008

Page 8: Cardiovascular Disease

65+ 0-19 20-39 40-64

Cum

ulat

ive

perc

ent o

f pat

ient

s

0

5

10

15

20

25Day 90 Day 180 Day 365

65+ 0-19 20-39 40-64

Cum

ulat

ive

perc

ent o

f pat

ient

s

0

5

10

15

20Day 90 Day 180 Day 365

65+ 0-19 20-39 40-64

Cum

ulat

ive

perc

ent o

f pat

ient

s

0

10

20

30

40

50

60 Day 90 Day 180 Day 365

65+ 0-19 20-39 40-64

Cum

ulat

ive

perc

ent o

f pat

ient

s

0.00

0.05

0.10

0.15

0.20

0.25

0.30Day 90 Day 180 Day 365

Page 9: Cardiovascular Disease

0 3 6 9 12 15 18 21 24 27 30 33 36

Perc

ent o

f pat

ient

s

0

20

40

60

80

1002000 2005 2010

Prevalent dialysis First wait-listed

Months

-12 -9 -6 -3 0 3 6 9 12 15 18 21 24 27 30 33 36

0 3 6 9 12 15 18 21 24 27 30 33 36

Perc

ent o

f pat

ient

s

0

20

40

60

80

100Prevalent dialysis First wait-listed

Months

-12 -9 -6 -3 0 3 6 9 12 15 18 21 24 27 30 33 36

2000 2005 2010

0 3 6 9 12 15 18 21 24 27 30 33 36

Perc

ent o

f pat

ient

s

2000 2005 2010

0

10

20

30

40

50Prevalent dialysis First wait-listed

Months

-12 -9 -6 -3 0 3 6 9 12 15 18 21 24 27 30 33 36

0 2 4 6 8 10 12

Perc

ent o

f pat

ient

s

0.0

0.1

0.2

0.3

0.4

0.5

0.6Prevalent dialysis First wait-listed

Months

-12 -10 -8 -6 -4 -2 0 2 4 6 8 10 12

Page 10: Cardiovascular Disease
Page 11: Cardiovascular Disease

0

10

20

30

40

50

ACEI/ARBalone

ACEI/ARB &Beta blker

Beta blkeralone

Neither ACEI/ARBalone

ACEI/ARB &Beta blker

Beta blkeralone

Neither

Perc

ent o

f pat

ient

s

2007 2010

Dialysis Transplant

0 6 12 18 24 30 36

Cum

ulat

ive

inci

denc

e

0.0

0.2

0.4

0.6

0.8ACEI/ARB aloneBeta blocker aloneACEI/ARB & beta blocker No drug

Cumulative incidence of death

Months after CHF diagnosis

0 6 12 18 24 30 36

Cumulative incidence of a CVD hospitalization

0 6 12 18 24 30 36

Cum

ulat

ive

inci

denc

e

0.0

0.2

0.4

0.6

0.8

ACEI/ARB aloneBeta blocker aloneACEI/ARB & beta blocker No drug

Cumulative incidence of death

Months after AMI event

0 6 12 18 24 30 36

Cumulative incidence of a CVD hospitalization

Page 12: Cardiovascular Disease

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