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. 2019 May 7;40(18):1399–1407. doi: 10.1093/eurheartj/ehy811

Table 3.

Multivariable adjusted associations according to β-blocker use at baseline categorized by the time elapsed since the index MI prior to enrolment

5-Year outcomes MI ≤1 year
1 year < MI ≤ 3 years
MI >3 years
(n = 3506)
(n = 2932)
(n = 7222)
β-blockers (n = 2931) No β-blockers (n = 575) HR (95% CI) P-value β-blockers (n = 2426) No β-blockers (n = 506) HR (95% CI) P-value β-blockers (n = 5746) No β-blockers (n = 1476) HR (95% CI) P-value
Primary outcome
 All-cause mortality 205 (7.0%) 59 (10.3%) 0.68 (0.50–0.91) 0.01 177 (7.3%) 40 (7.9%) 1.09 (0.76–1.56) 0.63 551 (9.6%) 158 (10.7%) 0.91 (0.84–1.10) 0.33
Secondary outcomes
 Cardiovascular mortality 132 (4.5%) 49 (8.5%) 0.52 (0.37–0.73) 0.0001 111 (4.6%) 28 (5.5%) 0.99 (0.64–1.53) 0.96 366 (6.4%) 104 (7.0%) 0.90 (0.72–1.13) 0.37
 Cardiovascular mortality/non-fatal MI 212 (7.2%) 59 (10.3%) 0.69 (0.52–0.93) 0.01 173 (7.1%) 37 (7.3%) 1.05 (0.73–1.52) 0.78 513 (8.9%) 132 (8.9%) 1.00 (0.82–1.21) 0.97
Exploratory analyses
 Non-CV mortality 73 (2.5%) 10 (1.7%) 1.42 (0.73–2.77) 0.31 66 (2.7%) 12 (2.4%) 1.32 (0.70–2.51) 0.39 185 (3.2%) 54 (3.7%) 0.94 (0.69–1.28) 0.69
 MI 122 (4.2%) 27 (4.7%) 0.85 (0.56–1.31) 0.47 88 (3.6%) 15 (3.0%) 1.25 (0.71–2.18) 0.44 222 (3.9%) 51 (3.5%) 1.10 (0.81–1.50) 0.54
 Stroke 60 (2.0%) 8 (1.4%) 1.45 (0.69–3.06) 0.33 49 (2.0%) 11 (2.2%) 1.04 (0.52–2.06) 0.91 150 (2.6%) 40 (2.7%) 0.98 (0.69–1.40) 0.92

HRs, CIs, and P-values are derived from comparing β-blocker users to non-users at baseline, with categorization by the time elapsed since MI prior to enrolment, in a survival analysis using Cox proportional hazards models with multivariable adjustment for the REACH cardiovascular event score,26 systolic/diastolic blood pressure, left ventricular ejection fraction, history of percutaneous coronary artery, coronary artery bypass graft, peripheral artery disease, and asthma/chronic obstructive pulmonary disease.

CI, confidence interval; HR, hazard ratio; MI, myocardial infarction.