Comparing beta blockers for hypertension

    • [PDF File]Rational use of beta blockers in hypertension

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      Beta blockers are recommended as first line therapy when indicated for example with heart failure. For more than 3 decades beta blockers have been widely used in the treatment of hypertension (14). National and international guidelines have promoted beta blockers as …

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    • [PDF File]Should Beta-Blockers Still be Used as Initial ...

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      Beta-blockers have long being used as first-line therapy for hypertension as their use had resulted in a reduction in cardiovascular morbidity and mortality in controlled clinical trials. A recent meta-analysis comparing beta-blockers to all other anti-hypertensive drugs taken together has found that stroke reduction was sub-optimal.

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    • [PDF File]Beta-blockers for cardiovascular conditions: one size …

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      For patients with uncomplicated hypertension beta-blockers are generally a fourth-line option as angiotensin converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), diuretics or calcium channel blockers are associated with better outcomes.13 Beta …

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    • [PDF File]Beta Blockers in the Management of Hypertension

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      Beta blockers have been used in the management of hypertension for several years, but with increasing options and accumulating evidence, their use as initial treatment is questioned. However, beta blockers play an important role in select patient population. In this article, overview of beta blockers in the treatment of hypertension is discussed.

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    • BETA-BLOCKER THERAPY Comprehensive Comparative ...

      B ETA-B LOCKER T HERAPY 1532 May 2021 Hypertension. 2021;77:1528–1538. DOI: 10.1161/HYPERTENSIONAHA.120.16402 Chan You et al fi-Blocker Therapy in Hypertension Secondary Outcomes and Safety of Third-Generation β-Blockers Compared With Atenolol Figure 2 shows the differences in risks for the 6 second-

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    • [PDF File]Beta Blockers for Peripheral Arterial Disease

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      glucose tolerance and hypertension.3 Men are twice as likely as women to be affected by intermittent claudica-tion.4 Patients with PAD have increased rates of mortality because of concurrent coronary artery disease and hypertension.5 Beta (b) blockers have been shown to decrease mortality in people with hypertension and coronary artery disease.

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    • [PDF File]Which antihypertensives are more effective in reducing ...

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      diuretic, beta-blocker, CCB, ACEI, or ARB for initial treatment of hypertension. In addition to the guidelines, a literature search was conducted to identify head-to-head trials comparing the effectiveness of different classes of antihypertensives for lowering DBP.

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    • [PDF File]The AFFIRM Investigators. A comparison of rate control and ...

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      amiodarone and the majority of patients started with amiodarone or sotalol) or rate control (with beta blockers, calcium channel blockers or digoxin). Patients were followed for a mean of 3.5 years. Primary analysis demonstrated a trend toward mortality benefit in the rate control group (hazard ratio 1.15 with 95% confidence interval 0.99 to 1.34).

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    • [PDF File]Nebivolol versus other beta blockers in patients with ...

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      nebivolol may offer an advantage over other beta blockers in the patient with hypertension and ED. A literature search comparing nebivolol with other beta blockers identified four European

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    • [PDF File]Treating Hypertension in 2020 : What are the Goals / How ...

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      Comparing BP Measurement Techniques 6 Studies of MOBP vs. Research BP ( AOBP ) (2) ... Hypertension needs Confirmation by HOME BP ( US Task Force ) Intensive SBP Control in T2D (ACCORD) ... Beta –Blockers = NOT first Line, unless CHF or IHD No Atenolol ! ( inferior to other BB’s )

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    • [PDF File]1999 WHO/ISH HYPERTENSION GUIDELINES - HIGHLIGHTS & ESH ...

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      mary cardiovascular endpoints of recent trials comparing "newer" drugs vs. diuretics/beta-blockers in hypertension There were no differences in primary outcomes in any trials, so in uncomplicat-ed hypertension all regular first-line drugs could be used. Principles of drug treatment • Beneficial effects on morbidity and mortality have been

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    • [PDF File]JNC 8 Hypertension Guideline Algorithm Initial Drugs of ...

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      Beta-Blockers metoprolol succinate 50-100mg and tartrate 50-100mg twice daily, nebivolol 5-10mg, propranolol 40-120mg twice daily, carvedilol 6.25-25mg twice daily, bisoprolol 5-10mg, labetalol 100-300mg twice daily, Not first line agents – reserve for post-MI/CHF Cause fatigue and decreased heart rate

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    • [PDF File]Drug Class Review on Beta Adrenergic Blockers

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      Beta blockers inhibit the chronotropic, inotropic and vasoconstrictor responses to the catecholamines, epinephrine and norepinephrine. Most beta blockers have half-lives of over six hours (Table 1). The shortest acting are pindolol (3-4 hours) and propranolol (3-5 hours). Most beta blockers are metabolized in combination by the liver and kidneys.

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    • [PDF File]Atenolol & Beta-Blockers for Primary Hypertension: Do They ...

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      Beta-blockers worse than ACEIs/ARBs, calcium-channel blockers, and diuretics. 4 o 2006 meta-analysis 5 stratifying trials by age subgroup found different effects when comparing beta-blockers to other antihypertensives: 60 years: Relative risk 1.06 (1.01-1.10).

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    • [PDF File]BETA-ADRENOCEPTOR ANTAGONISTS (BETA-BLOCKERS)

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      Beta-blockers vary in the degree of elimination by the kidney or the liver, usually with extensive first-pass metabolism. Lipid-soluble beta-blockers, e.g. labetalol, metoprolol, pindolol and propranolol, typically depend upon hepatic metabolism for clearance, whereas water soluble beta-blockers e.g. atenolol are cleared by the kidney. Drugs

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    • Are there big differences among beta-blockers in treating ...

      comparing treatment with beta-blockers with other antihypertensive drugs. Seven studies (n=27,433) were included in a ... in 21 hypertension trials, beta-blockers reduced major cardiovascular outcomes A meta-analysis ... beta-blockers for the treatment of hypertension: a meta-analysis. CMAJ 2006; ...

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    • [PDF File]Beta-Blocker–Induced Heart Rate Lowering, Cardioprotection ...

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      differences in outcome rates are in the studies comparing beta-blockers with active controls. These findings suggest that beta-blockers were less effective at preventing CV events than other antihypertensive agents. The mechanism for this may be evident in Table 2 of Bangalore et al. (1), which shows that beta-blockers resulted in less blood ...

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    • [PDF File]Beta-blockers for hypertension: Are they going out of style?

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      Beta-blockers are not all the same. They can be classified into three categories. Nonselective beta-blockers block both be-ta-1 and beta-2 adrenergic receptors. It is gen-erally accepted that beta-blockers exert their primary antihypertensive effect by blocking beta-1 adrenergic receptors.6 Of interest, non-

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    • [PDF File]LEGEND: Clinical insights for hypertension

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      that beta blockers may be less effective, especially for stroke prevention in older adults, but interpretation is hampered by inclusion of RCTs that used beta blockers that are now considered to be inferior for prevention of CVD (S8.1.6-13,S8.1.6-14).In a systematic review and network meta-analysis conducted for the

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    • [PDF File]Management of High Blood Pressure in Adults

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      The JNC 8 panel does not recommend first-line therapy with beta-blockers and alpha-blockers due to 1 trial that showed a higher rate of cardiovascular events with use of beta-blockers compared with use of an ARB, and another trial in which alpha-blockers resulted in inferior cardiovascular outcomes compared with use of a diuretic.

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    • [PDF File]Beta-blockers for cardiovascular conditions: one size does ...

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      For patients with uncomplicated hypertension beta-blockers are generally a fourth-line option as angiotensin converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), diuretics or calcium channel blockers are associated with better outcomes.13 Beta-blockers may be more effective in younger

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    • [PDF File]Should beta blockers remain first-line drugs for hypertension?

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      The majority of trials of beta blockers in hypertension have used atenolol. The few 'non-atenolol' beta blocker trials mainly studied propranolol, a few studied metoprolol and fewer still studied other or newer more selective beta blockers. Furthermore, beta blocking drugs with vasodilating properties

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