The role of β-blockers in the management of hypertension: An Asian perspective

B. Tomlinson, J. J. Dalal, J. Huang, L. P. Low, C. G. Park, A. R. Rahman, E. B. Reyes, A. A. Soenarta, A. Heagerty, F. Follath

    Research output: Contribution to journalReview articlepeer-review

    15 Citations (Scopus)


    Following publication of the National Institute of Clinical Excellence (NICE) Guidelines in 2006, the use of β-blockers as first-line therapy in hypertension has been somewhat controversial. However, a recent reappraisal of the European Society of Hypertension guidelines highlights that these agents exhibit similar BP lowering efficacy to other classes of agents, prompting a re-examination of the utility of these agents in various patient populations. The authors felt that it is important to address this controversy and provide an Asian perspective on the place of β-blockers in current clinical practice and the benefits of β-blockade in selected patient populations. In addition to their use as a potential first-line therapy in uncomplicated hypertension, β-blockers have a particular role in patients with hypertension and comorbidities such as heart failure or coronary artery disease, including those who had a myocardial infarction. One advantage which β-blockers offer is the additional protective effects in patients with prior cardiovascular events. Some of the disadvantages attributed to β-blockers appear more related to the older drugs in this class and further appraisal of the efficacy and safety profile of newer β-blockers will lend support to the current guideline recommendations in Asian countries and encourage increased appropriate use of β-blockade in current clinical practice within Asia.

    Original languageEnglish
    Pages (from-to)1021-1033
    Number of pages13
    JournalCurrent Medical Research and Opinion
    Issue number5
    Publication statusPublished - 2011 May

    Bibliographical note

    Funding Information:
    L.P.L. received sponsorship from AstraZeneca and Novartis, and research grant from Servier. He is an advisor to Merck Serono, Merck Sharp and Dohme, AstraZeneca, Eli Lilly, Novo Nordisk, and Novartis. He is in the speaker bureau for AstraZeneca, Merck Sharp and Dohme, and Novartis. He also received honoraria from AstraZeneca, Novartis and PACE. C.G.P. is an advisory board member to Merck Serono.

    Funding Information:
    Supported by an educational grant from Merck Serono


    • Adrenergic β-antagonists
    • Asia
    • Guidelines
    • Hypertension

    ASJC Scopus subject areas

    • Medicine(all)


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