Abstract
Approximately half a century has passed since the discovery of beta-blockers. Then, their prime therapeutic purpose was to treat angina and cardiac arrhythmias; nowadays, beta-blockers’ usage and effectiveness are extended to treat other cardiovascular diseases, such as hypertension, congestive heart failure, and coronary artery disease. Safety concerns were raised about beta- blockers and their use for chronic obstructive pulmonary disease (COPD) patients with concurrent cardiovascular disease. After thorough research of the literature, this review summarizes the evidence proving that beta-blockers not only might be well tolerated in COPD patients, but they might also have a beneficial effect in this group of patients.
Keywords: Beta-blockers, chronic obstructive pulmonary disease, exacerbations COPD, exacerbations cardiovascular disease, heart failure, lung function.
Graphical Abstract
[http://dx.doi.org/10.1097/HJH.0000000000000447] [PMID: 25485720]
[http://dx.doi.org/10.1016/j.jacc.2017.11.006] [PMID: 29146535]
[http://dx.doi.org/10.1093/eurheartj/ehy339] [PMID: 30165516]
[http://dx.doi.org/10.7189/jogh.05.020415] [PMID: 26755942]
[http://dx.doi.org/10.1016/j.rmed.2013.05.001] [PMID: 23791463]
[http://dx.doi.org/10.1183/09031936.05.00136304] [PMID: 16135722]
[http://dx.doi.org/10.1016/j.jacc.2014.07.012] [PMID: 25219921]
[http://dx.doi.org/10.1016/j.rmedc.2008.10.019]
[http://dx.doi.org/10.1093/eurjhf/hfp160] [PMID: 19951962]
[http://dx.doi.org/10.1111/imj.13795] [PMID: 29573074]
[PMID: 11466176]
[http://dx.doi.org/10.1517/14656566.8.10.1539] [PMID: 17661735]
[http://dx.doi.org/10.1016/0002-9149(90)90758-S] [PMID: 1977302]
[http://dx.doi.org/10.1046/j.1365-2710.2003.00477.x] [PMID: 12795776]
[http://dx.doi.org/10.1111/bcp.12439] [PMID: 24912767]
[http://dx.doi.org/10.1002/14651858.CD007451.pub2] [PMID: 26961574]
[http://dx.doi.org/10.1016/j.jaci.2016.05.011] [PMID: 27373322]
[http://dx.doi.org/10.2147/COPD.S51226] [PMID: 25378921]
[http://dx.doi.org/10.1038/nm1583] [PMID: 17450149]
[http://dx.doi.org/10.1038/ajh.2010.160] [PMID: 20671717]
[http://dx.doi.org/10.1378/chest.12-2847] [PMID: 23722528]
[http://dx.doi.org/10.1378/chest.128.4.2068] [PMID: 16236856]
[http://dx.doi.org/10.1513/pats.200404-032MS] [PMID: 16113462]
[http://dx.doi.org/10.1002/14651858.CD003566.pub2] [PMID: 16235327]
[http://dx.doi.org/10.1378/chest.78.5.714] [PMID: 6107217]
[http://dx.doi.org/10.1097/00005344-198608004-00022] [PMID: 2427835]
[http://dx.doi.org/10.1097/00005344-199006165-00008] [PMID: 11527135]
[http://dx.doi.org/10.2147/COPD.S133071] [PMID: 28435245]
[http://dx.doi.org/10.1093/eurjhf/hfp066] [PMID: 19460848]
[http://dx.doi.org/10.1016/S1053-2498(02)00459-X] [PMID: 12490274]
[http://dx.doi.org/10.1097/HJH.0b013e3280127948] [PMID: 17351362]
[http://dx.doi.org/10.1016/S0954-6111(11)70010-5] [PMID: 22015086]
[http://dx.doi.org/10.1016/j.jacc.2010.01.024] [PMID: 20413026]
[http://dx.doi.org/10.1001/archinte.1983.00350030039007] [PMID: 6830378]
[http://dx.doi.org/10.1016/0167-5273(87)90132-X] [PMID: 3679602]
[http://dx.doi.org/10.1378/chest.96.2.230] [PMID: 2666041]
[http://dx.doi.org/10.1016/j.hrtlng.2013.07.002] [PMID: 23998385]
[http://dx.doi.org/10.1001/archinternmed.2010.112] [PMID: 20498416]
[http://dx.doi.org/10.1136/bmj.d2549] [PMID: 21558357]
[http://dx.doi.org/10.1136/thoraxjnl-2015-207251] [PMID: 26283710]
[http://dx.doi.org/10.1345/aph.1R600] [PMID: 23585645]
[http://dx.doi.org/10.1371/journal.pone.0213187] [PMID: 30835781]
[http://dx.doi.org/10.1152/ajplung.2000.279.2.L379] [PMID: 10926562]
[http://dx.doi.org/10.1073/pnas.0400452101] [PMID: 15069206]
[http://dx.doi.org/10.1007/s40265-013-0120-5] [PMID: 24127222]
[http://dx.doi.org/10.1165/rcmb.2007-0279RC] [PMID: 18096872]
[http://dx.doi.org/10.1016/j.rmed.2012.04.007] [PMID: 22595809]
[http://dx.doi.org/10.1371/journal.pone.0113048] [PMID: 25427000]
[http://dx.doi.org/10.2147/COPD.S145913] [PMID: 29066880]
[http://dx.doi.org/10.1592/phco.27.5.684] [PMID: 17461703]
[http://dx.doi.org/10.1592/phco.2005.25.11.1550] [PMID: 16232018]
[http://dx.doi.org/10.1136/thoraxjnl-2012-201945] [PMID: 22941975]
[http://dx.doi.org/10.2147/COPD.S79942] [PMID: 25784798]
[http://dx.doi.org/10.1002/ejhf.1045] [PMID: 29159953]
[http://dx.doi.org/10.3389/fphar.2018.01212] [PMID: 30459608]
[http://dx.doi.org/10.2147/COPD.S141694] [PMID: 28894360]
[http://dx.doi.org/10.1186/s12931-017-0609-7] [PMID: 28629419]
[http://dx.doi.org/10.1056/NEJMoa1908142] [PMID: 31633896]
[http://dx.doi.org/10.1016/j.amjmed.2004.07.043] [PMID: 15629731]
[http://dx.doi.org/10.1016/j.cardfail.2007.07.012] [PMID: 18068611]
[http://dx.doi.org/10.1016/j.amjcard.2012.10.041] [PMID: 23200803]
[http://dx.doi.org/10.1016/S0002-9343(02)01346-3] [PMID: 12505115]
[http://dx.doi.org/10.1136/thx.2007.081893] [PMID: 17951276]
[http://dx.doi.org/10.1016/S0735-1097(01)01225-6] [PMID: 11401137]
[http://dx.doi.org/10.1056/NEJM199808203390801] [PMID: 9709041]
[http://dx.doi.org/10.1093/eurjhf/hfp001] [PMID: 19176539]
[http://dx.doi.org/10.1002/ejhf.647] [PMID: 27774703]
[http://dx.doi.org/10.1161/JAHA.114.001611] [PMID: 25854796]
[http://dx.doi.org/10.1136/bmj.f6650] [PMID: 24270505]
[http://dx.doi.org/10.1016/j.amjcard.2008.09.081] [PMID: 19166678]
[http://dx.doi.org/10.1007/s00380-019-01341-0] [PMID: 30680495]
[http://dx.doi.org/10.1164/rccm.200803-384OC] [PMID: 18565952]
[http://dx.doi.org/10.1016/j.athoracsur.2012.07.080] [PMID: 23040827]
[http://dx.doi.org/10.1186/1471-2466-12-48] [PMID: 22947076]
[PMID: 24072964]
[http://dx.doi.org/10.1164/rccm.201208-1565OC] [PMID: 23328521]
[http://dx.doi.org/10.1177/030006051204000602] [PMID: 23321161]