American Journal of Cardiology
Volume 105, Issue 4 , Pages 445-452 , 15 February 2010

Current Use of Aspirin and Antithrombotic Agents in the United States Among Outpatients With Atherothrombotic Disease (from the REduction of Atherothrombosis for Continued Health [REACH] Registry)

  • Christopher P. Cannon, MD

      Affiliations

    • TIMI Study Group, Cardiovascular Division, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts
    • Corresponding Author InformationCorresponding author: Tel: (617) 278-0146; fax: (617) 734-7329
  • ,
  • Karen E. Rhee, MD

      Affiliations

    • Miriam Hospital, Providence, Rhode Island
  • ,
  • Robert M. Califf, MD

      Affiliations

    • Duke Clinical Research Institute, Durham, North Carolina
  • ,
  • William E. Boden, MD

      Affiliations

    • Buffalo General Hospital and State University of New York at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York
  • ,
  • Alan T. Hirsch, MD

      Affiliations

    • University of Minnesota School of Public Health and Minneapolis Heart Institute Foundation, Minneapolis, Minnesota
  • ,
  • Mark J. Alberts, MD

      Affiliations

    • Northwestern University Medical School, Chicago, Illinois
  • ,
  • Greg Cable, PhD, MPA

      Affiliations

    • Department of Biostatistics, sanofi-aventis, Bridgewater, New Jersey
  • ,
  • Mingyuan Shao, MS

      Affiliations

    • Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio
  • ,
  • E. Magnus Ohman, MD

      Affiliations

    • Duke University Medical Center, Durham, North Carolina
  • ,
  • P. Gabriel Steg, MD

      Affiliations

    • INSERM U698 Université Paris 7 AP-HP, Paris, France
  • ,
  • Kim A. Eagle, MD

      Affiliations

    • Cardiovascular Center, University of Michigan, Ann Arbor, Michigan
  • ,
  • Deepak L. Bhatt, MD, MPH

      Affiliations

    • Veterans Affairs Boston Healthcare System and Brigham and Women's Hospital, Boston, Massachusetts
  • ,
  • REACH Registry Investigators

Received 12 June 2009 ,Revised 7 October 2009 ,Accepted 7 October 2009.

  • Image Result

    Baseline prevalence of aspirin and other antithrombotic agent use among US patients enrolled in the REACH Registry.

    Baseline prevalence of aspirin and other antithrombotic agent use among US patients enrolled in the REACH Registry.

  • Image Result

    Baseline prevalence of aspirin and other antithrombotic agent use among US patients enrolled in the REACH Registry who were symptomatic or asymptomatic (with ≥3 risk factors only).

    Baseline prevalence of aspirin and other antithrombotic agent use among US patients enrolled in the REACH Registry who were symptomatic or asymptomatic (with ≥3 risk factors only).

  • Image Result

    Aspirin use by concomitant antithrombotic medication subgroup in the entire US REACH population and doses used among aspirin users. Bar graph depicts use or lack of aspirin use in the overall populati

    Aspirin use by concomitant antithrombotic medication subgroup in the entire US REACH population and doses used among aspirin users. Bar graph depicts use or lack of aspirin use in the overall population according to concomitant use of other antiplatelet agents and/or oral anticoagulants. Pie charts show dosage breakdown among aspirin users only, accounting for missing data points.

  • Image Result
    Baseline predictors of (A) lack of aspirin use, (B) low-dose (75 to 100 mg/day; <75 mg was omitted from analysis and >100 mg was used as referent) aspirin use, and (C) lack of antithrombotic use with

    Baseline predictors of (A) lack of aspirin use, (B) low-dose (75 to 100 mg/day; <75 mg was omitted from analysis and >100 mg was used as referent) aspirin use, and (C) lack of antithrombotic use with 95% confidence intervals. *Included thienopyridines (clopidogrel and ticlopidine) and dipyridamole, but not nonsteroidal anti-inflammatory drugs or cilostazol. Included glucosidase inhibitors and meglitinides. Included fibrates, bioacid resins, niacin, and ezetimibe. §For every 10 additional years of age. History of intermittent claudication associated with lower limb artery angioplasty/stenting/bypass graft. For every 1 additional year in clinical practice. ABI = ankle-brachial index; ACE-I = angiotensin-converting enzyme inhibitor; A fib = atrial fibrillation; ARB = angiotensin II receptor blocker; CABG = coronary artery bypass graft; CHF = congestive heart failure; DM = diabetes mellitus; MI = myocardial infarction; NSAIDs = nonsteroidal anti-inflammatory drugs; TIA = transient ischemic attack.

 The REduction of Atherothrombosis for Continued Health (REACH) Registry, statistical support, and editorial assistance were supported by the Bristol-Myers Squibb/Sanofi Pharmaceutical Partnership, New York, New York. The REACH Registry has been endorsed by the World Heart Federation, Geneva, Switzerland.

PII: S0002-9149(09)02519-3

doi: 10.1016/j.amjcard.2009.10.014

American Journal of Cardiology
Volume 105, Issue 4 , Pages 445-452 , 15 February 2010