Coronary disease & ACS

Short- and long-term effects of beta-blockers on symptoms of anxiety and depression in patients with myocardial infarction and preserved left ventricular function: a pre-specified quality of life sub-study from the REDUCE-AMI trial

Eur Heart J Acute Cardiovasc CarePublished Secondary analysis of the REDUCE-AMI randomised trial

Authors' conclusion

Beta-blocker treatment led to a modest increase in depressive symptoms among MI patients with preserved LVEF.

Study context

Population
Patients with myocardial infarction (MI) and preserved left ventricular ejection fraction (LVEF)
Participants
806 patients
Comparison
Beta-blocker vs no beta-blocker
Primary endpoint
Self-reported symptoms of anxiety and depression (Hospital Anxiety and Depression Scale)
Follow-up
6-10 weeks and 12-14 months after MI
Methodological detailspre-specified sub-study, parallel-group, open-label, registry-based, Enrolment August 2018 through June 2022
  • Pre-specified sub-study
  • Parallel-group
  • Open-label
  • Registry-based
  • Enrolment August 2018 through June 2022

Primary result

As reported in the abstract

Depressive symptoms

β

0.48

95% CI 09–0.86; P = 0.015

follow-up 1

β

0.41

95% CI 0.01–0.81; P = 0.047

follow-up 2

Further findings

Baseline anxiety and depression

Possible cases of anxiety (mean 5.6; SD 3.9)
27%
Possible cases of depression (mean 3.9; SD 3.2)
14%

Original publication

Short- and long-term effects of beta-blockers on symptoms of anxiety and depression in patients with myocardial infarction and preserved left ventricular function: a pre-specified quality of life sub-study from the REDUCE-AMI trial. Eur Heart J Acute Cardiovasc Care. Published 3 October 2024. doi:10.1093/ehjacc/zuae112

Summarised from the published abstract; every number is checked against it

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