Evidence map›Paper›PMID 36513329›Full record

ArticleEuropean heart journal. Cardiovascular pharmacotherapy2023

Design and rationale of randomized evaluation of decreased usage of beta-blockers after acute myocardial infarction (REDUCE-AMI).

Troels Yndigegn, Bertil Lindahl, Joakim Alfredsson, Jocelyne Benatar, Lisa Brandin, David Erlinge, Urban Haaga, Claes Held, Pelle Johansson, Patric Karlström and 8 more

Open access · hybridAbstract readClinical Trial Protocol
In one paragraph

Article in European heart journal. Cardiovascular pharmacotherapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  6. Review
  7. Review
  8. Different aspects of pharmacological heart failure treatment.European heart journal. Cardiovascular pharmacotherapy · 2025
    Article
  9. Article
  10. Prevention is the key.European heart journal. Cardiovascular pharmacotherapy · 2025
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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

18 authors at 10 institutions in 4 countries.

Troels YndigegnDepartment of Cardiology, Clinical Sciences, Skane University Hospital, Lund University, 222 42 Lund, Sweden.ORCID 0000-0002-8960-2125
Bertil LindahlDepartment of Medical Sciences, Cardiology, Uppsala University, 751 05 Uppsala, Sweden.ORCID 0000-0002-5795-0061
Joakim AlfredssonDepartment of Cardiology Department of Health, Medicine and Caring Sciences, Linköping University, 581 83 Linköping, Sweden.ORCID 0000-0002-1415-7178
Jocelyne BenatarDepartment of Cardiology, Green Lane Cardiovascular Service, Auckland City Hospital, 1051 Auckland, New Zealand.
Lisa BrandinDivision of Cardiology, Skaraborgs sjukhus Skövde, 541 42 Skövde, Sweden.
David ErlingeDepartment of Cardiology, Clinical Sciences, Skane University Hospital, Lund University, 222 42 Lund, Sweden.
Urban HaagaDivision of Cardiology and Emergency Medicine, Centralsjukhuset Karlstad, 651 85 Karlstad, Sweden.
Claes HeldDepartment of Medical Sciences, Cardiology, Uppsala University, 751 05 Uppsala, Sweden.ORCID 0000-0001-9402-7404
Pelle JohanssonHeart and Lung Patients Association, 111 27 Stockholm, Sweden.
Patric KarlströmDivision of Cardiology, Department of Internal Medicine, Ryhov Hospital, 553 05 Jönköping, Sweden.
Thomas KellerthDivision of Cardiology and Emergency Medicine, Centralsjukhuset Karlstad, 651 85 Karlstad, Sweden.
Toomas MarandiDepartment of Cardiology, University of Tartu, 50406 Tartu, Centre of Cardiology, North Estonia Medical Centre, Tallinn, Estonia.ORCID 0000-0001-9791-3989
Katarina MarsDepartment of Clinical Science and Education, Division of Cardiology, Karolinska Institutet, Södersjukhuset, 118 83 Stockholm, Sweden.ORCID 0000-0002-6739-1558
Annica Ravn-FischerDepartment of Cardiology, Sahlgrenska University Hospital Institute of Medicine, Department of Molecular and Clinical Medicine Sahlgrenska, Academy at University of Gothenburg, 413 45 Gothenburg, Sweden.ORCID 0000-0003-2585-1592
Johan SundströmDepartment of Medical Sciences, Cardiology, Uppsala University, 751 05 Uppsala, Sweden.
Ollie ÖstlundDepartment of Medical Sciences, Cardiology, Uppsala University, 751 05 Uppsala, Sweden.
Robin HofmannDepartment of Clinical Science and Education, Division of Cardiology, Karolinska Institutet, Södersjukhuset, 118 83 Stockholm, Sweden.ORCID 0000-0002-8907-895X
Tomas JernbergDepartment of Clinical sciences, Danderyd Hospital, Karolinska Institutet, 182 52 Stockholm, Sweden.ORCID 0000-0003-1695-379X
Uppsala University · SEKarolinska Institutet · SEKarlstad Central Hospital · SELund University · SEAuckland City Hospital · NZLinköping University · SENorth Estonia Medical Centre · EERyhov Hospital Jönköping · SESahlgrenska University Hospital · SESkaraborg Hospital · SE

Funding

Estonian Research Council PRG435Swedish heart- and lung foundation 20210423Swedish Research Council 2016-00493
6 · The paper itself

Abstract

aimsMost trials showing benefit of beta-blocker treatment after myocardial infarction (MI) included patients with large MIs and are from an era before modern biomarker-based MI diagnosis and reperfusion treatment. The aim of the randomized evaluation of decreased usage of beta-blockers after acute myocardial infarction (REDUCE-AMI) trial is to determine whether long-term oral beta-blockade in patients with an acute MI and preserved left ventricular ejection fraction (EF) reduces the composite endpoint of death of any cause or recurrent MI. METHODS AND

resultsIt is a registry-based, randomized, parallel, open-label, multicentre trial performed at 38 centres in Sweden, 1 centre in Estonia, and 6 centres in New Zealand. About 5000 patients with an acute MI who have undergone coronary angiography and with EF ≥ 50% will be randomized to long-term treatment with beta-blockade or not. The primary endpoint is the composite endpoint of death of any cause or new non-fatal MI. There are several secondary endpoints, including all-cause death, cardiovascular death, new MI, readmission because of heart failure and atrial fibrillation, symptoms, functional status, and health-related quality of life after 6-10 weeks and after 1 year of treatment. Safety endpoints are bradycardia, AV-block II-III, hypotension, syncope or need for pacemaker, asthma or chronic obstructive pulmonary disease, and stroke.

conclusionThe results from REDUCE-AMI will add important evidence regarding the effect of beta-blockers in patients with MI and preserved EF and may change guidelines and clinical practice.

Indexed as

Myocardial InfarctionQuality of LifeArrhythmias, CardiacHumansMulticenter Studies as TopicRandomized Controlled Trials as TopicStroke VolumeVentricular Function, LeftBeta-blockerClinical trialMyocardial infarctionOutcomeRegistryRRCT

Identifiers

PMID36513329
PMCPMC9892870
OpenAlexW4311325602

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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 Socratic graph.