Intended for healthcare professionals

Letters Antihypertensive regimens

Should β blockers be second line treatment?

BMJ 2010; 340 doi: (Published 23 February 2010) Cite this as: BMJ 2010;340:c1065
  1. Jamal N Khan, specialist registrar in cardiology1,
  2. Abhishek Chauhan
  1. 1Sandwell and West Birmingham Hospitals NHS Trust, Birmingham B18 7QH
  1. mally777{at}

    Boger-Megiddo and colleagues’ article implies that β blockers are a better second line agent for management of hypertension than calcium channel blockers,1 but we disagree.

    After myocardial infarction, β blockade, but not calcium channel blockade, confers prognostic benefit through reduction in infarct size, risk of reinfarction, and mortality.2 …

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