{"id":9569,"date":"2026-02-21T22:10:54","date_gmt":"2026-02-21T19:10:54","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=9569"},"modified":"2026-02-21T22:10:54","modified_gmt":"2026-02-21T19:10:54","slug":"post-mi-beta-blockers-2024-2026-the-ef-driven-guidance","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/post-mi-beta-blockers-2024-2026-the-ef-driven-guidance\/","title":{"rendered":"Post-MI Beta-Blockers (2024\u20132026): The EF-Driven Guidance\u00a0"},"content":{"rendered":"<div>Post-MI Beta-Blockers (2024\u20132026): The EF-Driven Guidance<\/div>\n<div><\/div>\n<div><span> \u2022 The role of long-term beta-blockers after MI now depends largely on left ventricular ejection fraction (EF).<\/span><\/div>\n<div><span> \u2022 EF \u226550% (Preserved):<\/span><\/div>\n<div><span> \u2022 Contemporary trials show no clear outcome benefit.<\/span><\/div>\n<div><span> \u2022 Routine long-term use not supported if no other indication.<\/span><\/div>\n<div><span> \u2022 EF 40\u201349% (Mildly Reduced):<\/span><\/div>\n<div><span> \u2022 Consistent signal of meaningful benefit (\u2193 death\/MI\/HF).<\/span><\/div>\n<div><span> \u2022 Likely the most favorable group in current practice.<\/span><\/div>\n<div><span> \u2022 EF &lt;40% or clinical HF:<\/span><\/div>\n<div><span> \u2022 Strong indication.<\/span><\/div>\n<div><span> \u2022 Remain foundational, survival-improving therapy.<\/span><\/div>\n<div><span> \u2022 In women with preserved EF, data suggest possible harm signals, so greater caution is warranted.<\/span><\/div>\n<div><\/div>\n<div>Clear Take-Home Message:<\/div>\n<div><\/div>\n<div>Post-MI beta-blocker therapy is no longer universal \u2014 it is EF-guided.<\/div>\n<div><\/div>\n<div><a href=\"https:\/\/click.mail.medscape.com\/?qs=eyJkZWtJZCI6ImU4ZWYxNjA4LTc5MzctNDg1OC1iYmY2LTE3MzU3Nzg5MGJkZSIsImRla1ZlcnNpb24iOjEsIml2IjoiQlJiclkwdmpKdGhrTy9vYU84K3cydz09IiwiY2lwaGVyVGV4dCI6IitIKzNwdnZmZHlOWk9GOVBSM1Y3TTgyNlZpeE91VDVVblpFN1YvV01KcGkwWlNaSnFjOUt2N3VaNC9rSVU2RnBVTloyNjZpUXIxTWYrdHNTZEpPQWRsNTh6dzlIWTN2YzBaN1lCUmJyWTB2akp0aGtPL29hTzgrdzJ3PT0iLCJhdXRoVGFnIjoiRW5TVGdIWmVmTThQUjJONzNOR2UyQT09In0%3D\">https:\/\/click.mail.medscape.com\/?qs=eyJkZWtJZCI6ImU4ZWYxNjA4LTc5MzctNDg1OC1iYmY2LTE3MzU3Nzg5MGJkZSIsImRla1ZlcnNpb24iOjEsIml2IjoiQlJiclkwdmpKdGhrTy9vYU84K3cydz09IiwiY2lwaGVyVGV4dCI6IitIKzNwdnZmZHlOWk9GOVBSM1Y3TTgyNlZpeE91VDVVblpFN1YvV01KcGkwWlNaSnFjOUt2N3VaNC9rSVU2RnBVTloyNjZpUXIxTWYrdHNTZEpPQWRsNTh6dzlIWTN2YzBaN1lCUmJyWTB2akp0aGtPL29hTzgrdzJ3PT0iLCJhdXRoVGFnIjoiRW5TVGdIWmVmTThQUjJONzNOR2UyQT09In0%3D<\/a><\/div>\n<div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Post-MI Beta-Blockers (2024\u20132026): The EF-Driven Guidance \u2022 The role of long-term beta-blockers after MI now depends largely on left ventricular ejection fraction (EF). \u2022 EF \u226550% (Preserved): \u2022 Contemporary trials show no clear outcome benefit. \u2022 Routine long-term use not supported if no other indication. \u2022 EF 40\u201349% (Mildly Reduced): \u2022 Consistent signal of meaningful [&hellip;]<\/p>\n","protected":false},"author":145,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9569","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9569","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/145"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=9569"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9569\/revisions"}],"predecessor-version":[{"id":9570,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9569\/revisions\/9570"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=9569"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=9569"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=9569"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}