Pharmacology
- Definition
- Classification of b-blockers
- Pharmacokinetic properties: Lipophilic drugs, Hydrophilic drugs, Balanced clearance drugs
- Mechanism of action
- Adverse events: Cardiovascular, Metabolic, Pulmonary, Central effects, Sexual dysfunction
- Contraindications
- Drug interactions
- Dosing of b-blockers
Clinical efficacy and use
- Acute myocardial infarction (AMI)
- Secondary prevention after myocardial infarction
- Non-ST-segment elevation acute coronary syndromes
- Chronic, stable ischaemic heart disease
- Heart failure: Heart failure and preserved systolic function, Acute heart failure
- Arrhythmias: Sinus tachycardia, Supraventricular tachycardias, Tachycardias in WPW syndrome, Atrial flutter, Atrial fibrillation, Ventricular arrhythmias
- Prevention of sudden cardiac death: Acute myocardial infarction, Heart failure, Dilated cardiomyopathy, Hypertrophic cardiomyopathy, Mitral valve prolapse, Myocardial bridging, Long QT syndrome (LQTS), Catecholaminergic polymorphic ventricular tachycardia, SCD in the normal heart, Other situations
Hypertension
Aortic dissection
Hypertrophic cardiomyopathy
Prophylactic use in non-cardiac surgery
Vasovagal syncope
b-Blockers during pregnancy