THE ROLE OF VASODILATING BETA-BLOCKERS IN PATIENTS WITH HYPERTENSION AND THE CARDIOMETABOLIC SYNDROME

Российский кардиологический журнал

卷:0

A. A. Taylor¹  G. L. Bakris² 

[1] Отдел Медицины, Фармакологии и Молекулярной физиологии, Байлор-Колледж, Хьюстон, США;

[2] Секция заболеваний АГ, Медицинский центр Университета Чикаго, Иллинойс, США;

关键词: beta-blockers;    diabetes mellitus;    hypertension;    cardiometabolic syndrome;    nebivolol;    vasodilating beta-blockers;   

DOI  :  

来源: DOAJ

【 摘 要 】

In the United States, a vast segment of the adult population is classified as having the cardiometabolic syndrome, and currently there are epidemic rates of both type 2 diabetes mellitus and obesity. Hypertension is closely linked with these metabolic disorders and is a strong independent predictor of incident type 2 diabetes. In addition, hypertension is an important contributor to increasing cardiovascular disease risk in patients with the cardiometabolic syndrome. Lowering elevated blood pressure in patients with the cardiometabolic syndrome or diabetes is a critical component of reducing global cardiovascular risk. However, aggressive management of hypertension in these patients is often challenging, and the presence of these conditions is associated with poor blood pressure control. The utility of β-blockers in patients with these conditions continues to be a subject of intense debate, given the adverse metabolic effects associated with conventional β-blockers. Data on vasodilating β-blockers, however, suggest that these agents have favourable or neutral metabolic effects and generally more favourable effects when compared with non-vasodilating members of this class. These agents may expand the utility of β-blockers to patient populations traditionally considered not to be optimal candidates for β-blocker therapy – a fact which has important clinical implications, because more antihypertensive agents are needed to diversify the therapeutic options available for clinicians treating hypertension in patients with the cardiometabolic syndrome or type 2 diabetes.

【 授权许可】

Unknown