Fig. 4

Association of receipt of optimal AMI care with long-term survival in the absence or presence of each comorbidity. Missing data multiply imputed. Patients with each of the chronic conditions may be subject to diagnosis of the 6 other chronic conditions. *Adjusted for GRACE risk, sex, year of diagnosis, smoking status, IMD score and all seven comorbidities; multiple imputation by chained equations was used to produce 10 imputed datasets to minimise potential bias due to missing data, and hazard ratios presented are pooled across all ten imputations. COPD, chronic obstructive pulmonary disease; IMD, index of multiple deprivation (continuous); Global Registry of Acute Coronary Events (GRACE) risk score