EPISODE · Aug 31, 2025 · 4 MIN
🧠 REBOOTing Beta-Blockers – No Gains ⚖️ After Modern MI 💔
from Dr RR Baliga's "Got Knowledge Doc" Podkast · host MasterMedFacts LLC
🚫💊 Should We Rethink Beta-Blockers Post-MI? In the landmark REBOOT trial (NEJM, 2025), beta-blockers failed to reduce mortality, reinfarction, or heart failure hospitalizations in post-MI patients with preserved ejection fraction (>40%). 💡 A modern, pragmatic trial across 109 centers (Spain + Italy 🇪🇸🇮🇹) with 8438 patients — shaking the foundation of our long-held post-MI practices. 👩⚕️ Signals of potential harm in women and STEMI subgroups raise questions, not answers. 📉 Should guidelines change? Or should practice just evolve? #Cardiology #REBOOTTrial #BetaBlockers #NEJM #PrecisionMedicine #MedicalEducation #HeartAttack #LVEF #Guidelines #ClinicalTrials #InternalMedicine #EvidenceBasedMedicine #Revascularization
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🧠 REBOOTing Beta-Blockers – No Gains ⚖️ After Modern MI 💔
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