Summary
Fifty patients with essential hypertension WHO Grades I–II have been treated for 3 months with bisoprolol, a new selective betablocker, in doses up to 40 mg once daily. Forty-three patients reached the preset target diastolic blood pressure of ≤ 90 mmHg on a mean daily dose of 16.8 mg bisoprolol. There was no effect on serum lipids and HDL-cholesterol during the study. The side-effects were mild and were those usually associated with beta-blocking therapy.
References
Berglund G, Wedel H, Wilhelmsen L (1978) Coronary heart disease after treatment of hypertension. Lancet 8074: 1147–1148
Bielmann P, Leduc G, Jéquier J-C, Davignon J, Cartwright K (1981) Changes in the lipoprotein composition after chronic administration of metoprolol and propranolol in hypertriglyceridemic-hypertensive subjects. Curr Ther Res 30: 956–967
Carlson LA, Böttiger LE (1981) Serum triglycerides, to be or not to be a risk factor for ischaemic heart disease? Atherosclerosis 39: 287–291
Distler A, Keim HJ, Cordes U, Philipp T, Wolff HP (1978) Sympathetic responsiveness and antihypertensive effect of beta-receptor blockade in essential hypertension. Am J Med 64: 446–451
Dorow P, Tönnesmann U (1984) Dose-response relationship for the beta-adrenoceptor antagonist bisoprolol in patients with coronary heart disease and chronic obstructive bronchitis. Eur J Clin Pharmacol 27: 135–139
Franz I-W, Lohmann FW, Röcker L (1984) Unterschiedlicher Einfluß einer Langzeittherapie mit Beta1-selektiven und Beta1-Beta2-Rezeptorenblockern auf den Lipidstoffwechsel bei Hochdruckkranken. Herz/Kreislauf 3: 115–122
Frishman WH, Silverman R (1979) Clinical pharmacology of the new beta-adrenergic blocking drugs. Part 3. Comparative clinical experience and new therapeutic applications. Am Heart J 98: 119–131
Goto Y (1984) Effects of alpha- and beta-blocker antihypertensive therapy on blood lipids: A multicenter trial. Am J Med 76: 72–78
Helgeland A, Hjermann I, Leren P, Enger S, Holme I (1978) High-density lipoprotein cholesterol and antihypertensive drugs: The Oslo study. Br Med J 6134, 2: 403
Hypertension Detection and Follow-up Program Cooperative Group (1979) Five-year findings of the hypertension detection and follow-up program. I. Reduction in mortality of persons with high blood pressure, including mild hypertension. J Am Med Assoc 242: 2562–2571
National High Blood Pressure Information Center (1984) The 1984 Report of the Joint National Committee on Detection, evaluation and treatment of high blood pressure. Arch Intern Med 144: 1045–1057
Opie LH (1980) Drugs and the heart. Lancet 1: 1011–1017
Rössner S, Weiner L (1983) Atenolol and metoprolol: Comparison of effects on blood pressure and serum lipoproteins, and side-effects. Eur J Clin Pharmacol 24: 573–577
Rudd P, Beilstein B, Tul V, Howard J (1980) Once-daily regimen for propranolol anti-hypertensive therapy. Curr Ther Res 27: 29–39
Schliep H-J, Harting J (1984) Beta1-selectivity of bisoprolol, a new beta-adrenoceptor antagonist, in anaesthetized dogs and Guinea pigs. J Cardiovasc Pharm 6: 1156–1160
Tarazi RC, Dustan HP (1972) Beta adrenergic blockade in hypertension. Practical and theoretical implications of long-term hemodynamic variations. Am J Cardiol 29: 633–640
Weiner L, Frithz G (1986) Antihypertensive effects of bisoprolol during once daily administration in patients with essential hypertension. Eur J Clin Pharmacol 29: 517–521
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Frithz, G., Weiner, L. Effects of bisoprolol on blood pressure, serum lipids and HDL-cholesterol in essential hypertension. Eur J Clin Pharmacol 32, 77–80 (1987). https://doi.org/10.1007/BF00609961
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DOI: https://doi.org/10.1007/BF00609961