Supplementary Table 1 Independent Predictors of 2-Year Mortality

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Supplementary Table 1 Independent Predictors of 2-Year Mortality Parameter Hazard Ratio (95% CI) p-value CTE (Overall) 3.3 (2.2-4.9) <0.001 PP CTE 1.5 (0.6-3.8) 0.36 Non-PP MI 3.7 (2.2-6.2) Non-PP ST 3.7 (1.6-8.7) 0.002 AB (Overall) 3.5 (2.3-5.4) PP AB 2.5 (0.99-6.3) 0.052 Non-PP BARC type 2 2.6 (1.4-4.8) Non-PP BARC type 3 5.2 (3.0-9.1) Age (per 1 year increase) 1.03 (1.02-1.05) Prior MI 1.53 (1.1 – 2.1) 0.01 Female sex 0.70 (0.51-0.98) 0.04 Europe (vs. US) 0.64 (0.41-0.99) BMS (vs. DES) 1.8 (1.3-2.6) 0.001 Current smoking 2.1 (1.4-3.1) DM (non-Insulin requiring) 1.6 (1.1-2.2) DM (Insulin requiring) 1.9 (1.3-2.8) CrCl < 45 ml/min/1.73m2 2.7 (1.9-4.1) Hemoglobin (per 1 mg/dl increase) 0.83 (0.76-0.90) BMI ≥ 35 (versus BMI < 25) 1.7 (1.0-2.7) Hazard ratios generated from fully fitted models with CTE and AB entered as hierarchical time-varying covariates. CTE – coronary thrombotic event; AB – actionable bleeding; DM – diabetes mellitus; ACS – acute coronary syndrome; BMS – bare metal stent; DES – drug eluting stent; CrCl– creatinine clearance; PP- periprocedural; BMI – body mass index; MI – myocardial infarction

Supplementary Table 2 Mortality Hazard Ratios (95% CI) After Excluding Patients with Both Coronary Thrombotic Events and Actionable Bleeding HR (95% CI) Deaths, n CTE (Overall) 3.8 (2.3 – 6.4) 21 PP CTE 1.2 (0.4-3.9) 4 Non-PP MI 5.8 (3.0-11.3) 10 Non-PP ST 8.7 (3.4 – 22.3) 7 AB (Overall) 3.4 (2.1-5.4) 36 PP AB 1.6 (0.5-5.1) 3 Non-PP BARC type 2 2.1 (0.9 – 4.6) 11 Non-PP BARC type 3 7.3 (4.1-13.0) 22 CTE – coronary thrombotic event; AB – actionable bleeding; HR-hazard ratio; CI- confidence interval; PP – periprocedural; BARC – Bleeding Academic Research Consortium

Supplementary Table 3 Mortality Hazard Ratios (95% CI) Using Cardiac Death as Dependent Outcome HR (95% CI) Deaths, n CTE (Overall) 4.5 (2.9 – 7.2) 34 PP CTE 2.5 (0.9-6.4) 7 Non-PP MI 5.4 (2.9-10.0) 19 Non-PP ST 4.7 (1.8 – 12.3) 8 AB (Overall) 2.8 (1.7-4.8) 32 PP AB 2.8 (1.1-7.9) 4 Non-PP BARC type 2 1.8 (0.7 – 4.3) 6 Non-PP BARC type 3 3.7 (1.8-7.4) 22 CTE – coronary thrombotic event; AB – actionable bleeding; HR-hazard ratio; CI- confidence interval; PP – periprocedural; BARC – Bleeding Academic Research Consortium

Proportion of Deaths In Discrete Time Intervals After CTE or AB Supplementary Figure 1