>This seems to have fallen from grace in recent times.
>For those of you still finding a use for beta-blockers as a Rx for
hypertension, which do younow favour?
Depends whether you believe the trial last year was valid and whether you
feel it is a class effect or down to Atenolol on its own. Propranolol had
similar press in 1985(?)
I would like to theorise (not EBM) that it may be the duration of action
that is the problem here as Atenolol is really a bd drug. I am gradually
changing my Atenolol patients to Bisoprolol for hypertension.
For IHD I am wavering.
Another study in a few years time may make it a class effect and I will be
sad that the ABCD approach will be truncated.
:-(
Best
Paul Attwood
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