Evidence map›Paper›PMID 35491482›Full record

ArticleKorean circulation journal2022

The Clinical Impact of β-Blocker Therapy on Patients With Chronic Coronary Artery Disease After Percutaneous Coronary Intervention.

Jiesuck Park, Jung-Kyu Han, Jeehoon Kang, In-Ho Chae, Sung Yun Lee, Young Jin Choi, Jay Young Rhew, Seung-Woon Rha, Eun-Seok Shin, Seong-Ill Woo and 10 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Korean circulation journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03507205 (Korean Nationwide Multicenter Pooled Registry of Drug-Eluting Stents), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 46% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03507205 completednot on this map

Korean Nationwide Multicenter Pooled Registry of Drug-Eluting Stents

Typeobservational_patient_registrySponsorSeoul National University HospitalRan2008 to 2017Enrolled17,286ConditionsCoronary Artery DiseaseArmsBiomatrix, Biomatrix Flex, Nobori, Xience Prime, Xience V/Promus
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Observational
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 13 institutions in 1 country.

Jiesuck ParkCardiovascular Center, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-6924-7106
Jung-Kyu HanCardiovascular Center, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea. hpcrates@gmail.com.ORCID https://orcid.org/0000-0002-0016-0747
Jeehoon KangCardiovascular Center, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-9078-2231
In-Ho ChaeCardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID https://orcid.org/0000-0003-1644-2105
Sung Yun LeeDepartment of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.ORCID https://orcid.org/0000-0001-5757-7706
Young Jin ChoiDepartment of Internal Medicine, Sejong General Hospital, Bucheon, Korea.ORCID https://orcid.org/0000-0002-7873-9396
Jay Young RhewDepartment of Internal Medicine and Cardiovascular Center, Presbyterian Medical Center, Jeonju, Korea.ORCID https://orcid.org/0000-0002-0027-1420
Seung-Woon RhaCardiovascular Center, Korea University Guro Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-9456-9852
Eun-Seok ShinDepartment of Cardiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.ORCID https://orcid.org/0000-0002-9169-6968
Seong-Ill WooDepartment of Internal Medicine, Inha University Hospital, Incheon, Korea.ORCID https://orcid.org/0000-0003-1896-6279
Han Cheol LeeDepartment of Internal Medicine, Pusan National University Hospital, Busan, Korea.ORCID https://orcid.org/0000-0002-7236-4204
Kook-Jin ChunDepartment of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.ORCID https://orcid.org/0000-0002-6463-9407
DooIl KimDepartment of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.ORCID https://orcid.org/0000-0001-9194-6288
Jin-Ok JeongDepartment of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0003-0763-4754
Jang-Whan BaeDepartment of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.ORCID https://orcid.org/0000-0003-1362-9804
Han-Mo YangCardiovascular Center, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-1548-2351
Kyung Woo ParkCardiovascular Center, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-2432-4432
Hyun-Jae KangCardiovascular Center, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-3500-1746
Bon-Kwon KooCardiovascular Center, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-8188-3348
Hyo-Soo KimCardiovascular Center, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-0847-5329
Seoul National University Hospital · KRChungbuk National University · KRChungnam National University · KRInha University Hospital · KRInje University Haeundae Paik Hospital · KRInje University Ilsan Paik Hospital · KRKorea University Medical Center · KRPresbyterian Medical Center · KRPusan National University Hospital · KRPusan National University Yangsan Hospital · KRSejong General Hospital · KRSeoul National University Bundang Hospital · KRUlsan College · KR

Funding

Chong Kun Dang Inc. 0620173860
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe outcome benefits of β-blockers in chronic coronary artery disease (CAD) have not been fully assessed. We evaluated the prognostic impact of β-blockers on patients with chronic CAD after percutaneous coronary intervention (PCI).

methodsA total of 3,075 patients with chronic CAD were included from the Grand Drug-Eluting Stent registry. We analyzed β-blocker prescriptions, including doses and types, in each patient at 3-month intervals from discharge. After propensity score matching, 1,170 pairs of patients (β-blockers vs. no β-blockers) were derived. Primary outcome was defined as a composite endpoint of all-cause death and myocardial infarction (MI). We further analyzed the outcome benefits of different doses (low-, medium-, and high-dose) and types (conventional or vasodilating) of β-blockers.

resultsDuring a median (interquartile range) follow-up of 3.1 (3.0-3.1) years, 134 (5.7%) patients experienced primary outcome. Overall, β-blockers demonstrated no significant benefit in primary outcome (hazard ratio [HR], 0.88; 95% confidence interval [CI], 0.63-1.24), all-cause death (HR, 0.87; 95% CI, 0.60-1.25), and MI (HR, 1.25; 95% CI, 0.49-3.15). In subgroup analysis, β-blockers were associated with a lower risk of all-cause death in patients with previous MI and/or revascularization (HR, 0.38; 95% CI, 0.14-0.99) (p for interaction=0.045). No significant associations were found for the clinical outcomes with different doses and types of β-blockers.

conclusionsOverall, β-blocker therapy was not associated with better clinical outcomes in patients with chronic CAD undergoing PCI. Limited mortality benefit of β-blockers may exist for patients with previous MI and/or revascularization.

trial registrationClinicalTrials.gov Identifier: NCT03507205.

Indexed as

Adrenergic beta-antagonistsAngina, stablePercutaneous coronary intervention

Identifiers

PMID35491482
PMCPMC9257156
OpenAlexW4225313284

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.