Table 1.
Beta-blocker | Control | Design | Administration | Major inclusion criteria | Major exclusion criteria | |
---|---|---|---|---|---|---|
BEAT-AMI5 | Esmolol infusion for target HR of 60/min | Placebo | Single center 1:1 randomized, single-blind, placebo-controlled | 60 min after PCI | STEMI patients with successful PCI, symptom onset to PCI<6 h | Killip class III or IV, HR <60/min, mean arterial BP<65 mm Hg |
EARLY-BAMI6 | Metoprolol 2 intravenous doses of 5 mg | Placebo | International multicenter 1:1 randomized, double-blind, placebo-controlled | First bolus in ambulance. Second bolus at immediately before PCI | STEMI patients eligible for primary PCI, symptoms >30 min to <12 h | Killip class III and IV, HR<60/min, systolic BP<100 mm Hg, type II or III AV-block |
Hanada et al.7 | Landiolol 3 µg/kg/min infusion for 24 h, no loading dose | Routine care | Single-center: 1:1 randomized, non-blinded, open-label | Directly after PCI | STEMI patients undergoing primary PCI, symptoms for <12 h | Killip class III or IV, HR<50/min, systolic BP<90 mm Hg, type II or III AV-block |
METOCARD-CINC8 | Metoprolol up to 3 intravenous doses of 5 mg | Routine care | Multicenter 1:1, randomized, single-blind | During transfer to PCI or at the emergency department | Anterior STEMI patients, symptom onset >30 min to <4.5 h | Killip class II or IV, HR<60/min, systolic BP<120 mm Hg, type II–III AV-block |
AV: atrioventricular; BEAT-AMI: BEtA-Blocker Therapy in Acute Myocardial Infarction; BP: blood pressure; EARLY-BMI: Early Beta-blocker Administration before primary PCI in patients with ST-elevation Myocardial Infarction; HR: heart rate; METOCARD-CNIC: Effect of Metoprolol in Cardioprotection During an Acute Myocardial Infarction; PCI: percutaneous coronary intervention; STEMI: ST-segment elevation myocardial infarction.