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We found no difference in survival as the HR (MO/no MO) was 0.98 (95% confidence interval [CI] 0.76-1.26), p = 0.86 using PSM and 1.01 (95% CI 0.84-1.23), p = 0.88 with IPTW. Likewise, distributions of LVEFs were similar using either methods with PSM, median LVEFs were 50.0% (interquartile range [IQR] 43.0%-55.3%) vs 50.0% (IQR 42.0%-55.0%) in the no MO and MO groups, respectively (p = 0.76), whereas using IPTW, they were 50.0% (IQR 42.5%-55.0%) vs 50.0% (IQR 41.0%-55.0%), respectively (p = 0.86). Our data suggest that morphine use may ha