Table 3.
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.