Evidence map›Paper›PMID 42696435›Full record

ArticleAnnals of medicine2026

Heterogeneous effects of preoperative beta blockers on 30-day mortality after coronary artery bypass surgery.

Wenyuan Lu, Hanwei Tang, Jingyu Wang, Jianing Han, Yuanming Li, Xin Wang, Jianfeng Hou

Abstract read
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Article in Annals of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Wenyuan LuCardiac Surgery Centre, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Hanwei TangCardiac Surgery Centre, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Jingyu WangDepartment of Epidemiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Jianing HanCardiac Surgery Centre, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Yuanming LiCardiac Surgery Centre, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Xin WangCardiac Surgery Centre, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Jianfeng HouCardiac Surgery Centre, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of preoperative β-blocker therapy in patients with ventricular dysfunction undergoing coronary artery bypass grafting (CABG) remains unclear.

objectiveWe aim to evaluate heterogeneous treatment effects of preoperative β-blocker therapy in patients with ventricular dysfunction undergoing CABG and to identify subgroups that may derive greater benefit from preoperative β-blocker therapy than untreated controls.

methodsTo investigate the heterogeneous treatment effects of preoperative β-blocker therapy on 30-day mortality in patients with ventricular dysfunction undergoing CABG, we analyzed data on 6,492 patients in the Chinese Cardiac Surgery Registry database between 2017 and 2020. After propensity score matching, we applied a machine-learning iterative causal forest (iCF) algorithm to estimate individualized treatment effects (ITEs) of β-blockers on 30-day all-cause mortality after CABG.

resultsThe iCF models showed heterogeneity in the effects of preoperative β-blockers on 30-day mortality. Estimated glomerular filtration rate (eGFR), left ventricular end-diastolic diameter (LVEDD) and body mass index (BMI) were identified by the algorithm to distinguish patients with heterogeneous treatment effects. Among patients with eGFR 66 mL/min/1.73 m

conclusionMachine learning analysis revealed treatment effect heterogeneity, with preoperative β-blockers demonstrating superior outcomes specifically in CABG patients with ventricular dysfunction and concomitant renal dysfunction (eGFR ≤ 66 mL/min/1.73 m

Indexed as

Adrenergic beta-AntagonistsCoronary Artery BypassCoronary Artery DiseasePostoperative ComplicationsAgedChinaFemaleGlomerular Filtration RateHumansMachine LearningMaleMiddle AgedPreoperative CarePropensity ScoreRegistriesRisk FactorsAdrenergic beta-Antagonistscoronary artery bypass surgeryheterogeneous treatment effectIterative causal forestβ-blockers

Identifiers

PMID42696435
PMCPMC13552291

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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.