Beta-Blocker Interruption Post-MI Questioned: ABYSS Trial
Conexiant
August 30, 2024
The ABYSS trial involved 3,698 patients with a history of myocardial infarction, comparing beta-blocker interruption to continuation.
The primary outcome showed 23.8% of the interruption group experienced adverse cardiovascular events versus 21.1% in the continuation group.
The trial did not meet the noninferiority criterion, as the upper boundary of the confidence interval exceeded the predefined margin.
Beta-blocker interruption led to significant increases in blood pressure and heart rate compared to those who continued treatment.
Quality of life did not improve with beta-blocker interruption, as measured by the European Quality of Life–5 Dimensions questionnaire.
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