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Beta Blocker Interruption Causes Heart Rate Rebound and Worse CV Outcomes in Post-MI Patients: New Pre-Specified Analysis of ABYSS Trial
['Prem Aggarwal', 'Written', 'Zeitouni', 'M.', 'Procopi', 'N.', 'Cayla', 'G.', 'Ferrari', 'E.']
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The analysis included 3,623 stable post-MI patients with left ventricular ejection fraction (LVEF) ≥40% who were randomized to β-blocker interruption or continuation.
Key findings from this pre-specified analysis study include:● β-Blocker Interruption Caused Dose-Dependent Heart Rate Rebound with Increased Cardiovascular Risk: β-blocker interruption led to significant and sustained heart rate increases with a dose-dependent rebound effect and higher cardiovascular event risk across all three heart rate tertiles, though more pronounced in patients with elevated baseline heart rate (≥68 bpm).
Beta-blocker interruption resulted in sustained heart rate elevation across all tertiles, with the most pronounced rebound in patients with higher baseline heart rates.
Figures 1 and 2 illustrate the distribution of clinical outcomes across heart rate tertiles (HR <60 bpm, HR 60–<68 bpm, and HR ≥68 bpm).
All-Cause Mortality:p <0.001, Cardiovascular Death: p = 0.014, Recurrent MI: p = 0.040Figure 2: Composite Endpoints: MACE, MACE + HF Hospitalization, Primary Composite.