In a large, new, observational study, β-blocker treatment did not improve clinical outcomes in patients with coronary artery disease (CAD), including those with previous myocardial infarction, and was associated with more events in individuals with risk factors only. The role of β-blockers for secondary prevention in these patients should be reconsidered.
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References
Freemantle, N., Cleland, J., Young, P., Mason, J. & Harrison, J. β Blockade after myocardial infarction: systematic review and meta regression analysis. BMJ 318, 1730–1737 (1999).
Antman, E. M. et al. 2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the Canadian Cardiovascular Society endorsed by the American Academy of Family Physicians: 2007 Writing Group to review new evidence and update the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction, writing on behalf of the 2004 Writing Committee. Circulation 117, 296–329 (2008).
Steg, P. G. et al. ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the Task Force on the Management of ST-Segment Elevation Acute Myocardial Infarction of the European Society of Cardiology (ESC). Eur. Heart J. 33, 2569–2619 (2012).
Fox, K. et al. Guidelines on the management of stable angina pectoris: executive summary: the Task Force on the Management of Stable Angina Pectoris of the European Society of Cardiology. Eur. Heart J. 27, 1341–1381 (2006).
Bangalore, S. et al. β-Blocker use and clinical outcomes in stable outpatients with and without coronary artery disease. JAMA 308, 1340–1349 (2012).
Shu, D. F., Dong, B. R., Lin, X. F., Wu, T. X. & Liu, G. J. Long-term beta blockers for stable angina: systematic review and meta-analysis. Eur. J. Prev. Cardiol. 19, 330–341 (2012).
Tuppin, P. et al. Evidence-based pharmacotherapy after myocardial infarction in France: adherence-associated factors and relationship with 30-month mortality and rehospitalization. Arch. Cardiovasc. Dis. 103, 363–375 (2010).
Boutouyrie, P. et al. Pharmacological modulation of arterial stiffness. Drugs 71, 1689–1701 (2011).
Ong, K. T. et al. Effect of celiprolol on prevention of cardiovascular events in vascular Ehlers–Danlos syndrome: a prospective randomised, open, blinded-endpoints trial. Lancet 376, 1476–1484 (2010).
Bangalore, S., Parkar, S., Grossman, E. & Messerli, F. H. A meta-analysis of 94,492 patients with hypertension treated with beta blockers to determine the risk of new-onset diabetes mellitus. Am. J. Cardiol. 100, 1254–1262 (2007).
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N. Danchin is or has been a consultant for the following companies: AstraZeneca, Bayer, Bristol–Myers Squibb, Daiichi Sankyo, Eli Lilly, GlaxoSmithKline, Merck, Novo-Nordisk, Pfizer, Roche, Sanofi-Aventis, Servier, and The Medicines Company. N. Danchin has received honoraria from the following companies: AstraZeneca, Bayer, Bristol–Myers Squibb, Boehringer Ingelheim, Daiichi Sankyo, Eli Lilly, GlaxoSmithKline, Merck, Novartis, Novo-Nordisk, Sanofi-Aventis, Servier, and The Medicines Company. N. Danchin has received grant or research support from the following companies: AstraZeneca, Eli Lilly, GlaxoSmithKline, Merck, Novartis, Pfizer, Sanofi-Aventis, Servier, and The Medicines Company.
S. Laurent is or has been a consultant for AstraZeneca. S. Laurent has received honoraria from the following companies: Bayer Schering, Boehringer Ingelheim, Chiesi, Daiichi Sankyo, Menarini, Negma, Novartis, Omron, Recordati, and Servier. S. Laurent has received grant or research support from the following companies: Actor, Esaote, and Servier.
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Danchin, N., Laurent, S. Are β-blockers truly helpful in patients with CAD?. Nat Rev Cardiol 10, 11–12 (2013). https://doi.org/10.1038/nrcardio.2012.159
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DOI: https://doi.org/10.1038/nrcardio.2012.159
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