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Related Experiment Video

Updated: Jun 24, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
14:52

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

Published on: December 11, 2013

Beta blockers for peripheral arterial disease.

S C V Paravastu1, D A Mendonca, A da Silva

  • 1Manchester Royal Infirmary, Manchester, UK. sharathparavstu@googlemail.com

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|April 11, 2009
PubMed
Summary

Beta blockers do not appear to worsen walking distance in peripheral arterial disease patients with intermittent claudication. However, caution is advised in critical ischemia cases.

Related Experiment Videos

Last Updated: Jun 24, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
14:52

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

Published on: December 11, 2013

Area of Science:

  • Cardiovascular Medicine
  • Pharmacology

Background:

  • Peripheral arterial disease (PAD) affects leg circulation.
  • Beta blockers are commonly prescribed cardiovascular drugs.
  • Concerns exist regarding beta blockers' impact on PAD symptoms like claudication.

Purpose of the Study:

  • To evaluate the safety and efficacy of beta blockers in patients with PAD.
  • To quantify the effect of beta blockers on walking capacity and related vascular parameters.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs).
  • Searched Cochrane, PubMed, CINAHL for RCTs comparing beta blockers to placebo.
  • Included studies focused on claudication, walking distance, calf blood flow, vascular resistance, and skin temperature.

Main Results:

  • Six RCTs with 119 patients were analyzed.
  • Atenolol, propranolol, pindolol, and metoprolol were the beta blockers studied.
  • No statistically significant adverse effects on walking distance or vascular parameters were observed.

Conclusions:

  • Current evidence does not support the notion that beta blockers negatively impact walking distance in intermittent claudication.
  • Beta blockers can be used cautiously if clinically indicated for PAD patients.
  • Particular caution is recommended in critical ischemia due to contraindications for rapid blood pressure reduction.