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Current place of beta-blockers in the treatment of hypertension
Agata Bielecka-Dabrowa1, Wilbert S Aronow, Jacek Rysz
1Department of Hypertension, Medical University of Lodz, Lodz, Poland.
Insights
Beta-blockers effectively lower blood pressure for hypertension but their impact on cardiovascular outcomes is debated. Current guidelines suggest they are not the preferred first-line treatment for uncomplicated hypertension.
Area of Science:
- Cardiology
- Pharmacology
Background:
- Hypertension is a prevalent cardiovascular risk factor affecting over 25% of adults in developed nations.
- Beta-blockers have been used for hypertension treatment for over 40 years, demonstrating blood pressure-lowering effects.
Purpose of the Study:
- To review the current application of beta-blockers in hypertensive patients.
- To discuss the 2009 European Society of Hypertension guidelines regarding beta-blocker use.
Main Methods:
- Literature review of studies on beta-blockers and hypertension.
- Analysis of current European Society of Hypertension guidelines.
Main Results:
- The efficacy of beta-blockers in reducing cardiovascular morbidity and mortality in hypertensive patients remains controversial.
- Previous recommendations indicated that beta-blockers should not be prioritized as first-line therapy for hypertension.
Conclusions:
- The role of beta-blockers in uncomplicated hypertension is still under debate.
- This review provides an overview of current knowledge and recent guideline recommendations on beta-blocker therapy for hypertension.
Abstract:
Hypertension represents the most common cardiovascular risk factor, affecting more than 25% of the adult population in developed societies. Although beta-blockers have been previously shown to effectively reduce blood pressure and have been used for hypertension treatment for over 40 years, their effect on cardiovascular morbidity and mortality in hypertensive patients remains controversial and their use in uncomplicated hypertension is currently still under debate. According to the previous recommendations beta-blockers should not be preferred as first-line therapy in hypertension patients. This review summarizes the current knowledge on application of beta-blockers in patients with hypertension and discusses the most recent guidelines of the European Society of Hypertension (2009) on beta-blockers applications.
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