Evidence map›Paper›PMID 25821584›Full record

ReviewOpen heart

β-Blockers in hypertension, diabetes, heart failure and acute myocardial infarction: a review of the literature.

James J DiNicolantonio, Hassan Fares, Asfandyar K Niazi, Saurav Chatterjee, Fabrizio D'Ascenzo, Enrico Cerrato, Giuseppe Biondi-Zoccai, Carl J Lavie, David S Bell, James H O'Keefe

Open access · goldAbstract readReview
In one paragraph

Review in Open heart. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
9.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 98 citations in OpenAlex.

  1. Nebivolol versus Carvedilol or Metoprolol in Patients Presenting with Acute Myocardial Infarction Complicated by Left Ventricular Dysfunction.Medical principles and practice : international journal of the Kuwait University, Health Science Centre
    Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Cardiomodulatory Effects of Cardiometabolic and Antihyperglycemic Medications: The Roles of Oxidative and Endoplasmic Reticulum Stress.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Angina in 2022: Current Perspectives.Journal of clinical medicine · 2022
    Review
  11. GRK2 in cardiovascular disease and its potential as a therapeutic target.Journal of molecular and cellular cardiology · 2022
    Review
  12. Article
  13. Review
  14. Article
  15. Awareness and Knowledge Among Internal Medicine House-Staff for Dose Adjustment of Cardiovascular Drugs in Chronic Kidney Disease.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2021
    Article
  16. Article
  17. Article
  18. Social, demographic, and economic correlates of food and chemical consumption measured by wastewater-based epidemiology.Proceedings of the National Academy of Sciences of the United States of America · 2019
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 2 countries.

James J DiNicolantonioMid America Heart Institute at Saint Luke's Hospital , Kansas City, Missouri , USA.
Hassan FaresJohn Ochsner Heart and Vascular Institute, Ochsner Clinical School- The University of Queensland School of Medicine , New Orleans, Louisiana , USA.
Asfandyar K NiaziShifa College of Medicine , Islamabad , Pakistan.
Saurav ChatterjeeSt Luke's Roosevelt Hospital Center , New York, New York , USA.
Fabrizio D'AscenzoUniversity of Turin, Citta Della Salute e Della Scienza , Torino , Italy.
Enrico CerratoUniversity of Turin, Citta Della Salute e Della Scienza , Torino , Italy.
Giuseppe Biondi-ZoccaiSapienza University of Rome , Latina , Italy.
Carl J LavieJohn Ochsner Heart and Vascular Institute, Ochsner Clinical School- The University of Queensland School of Medicine , New Orleans, Louisiana , USA ; Department of Preventive Medicine , Pennington Biomedical Research Center , Baton Rouge, Louisiana , USA.
David S BellSouthside Endocrinology, University of Alabama at Birmingham.
James H O'KeefeMid America Heart Institute at Saint Luke's Hospital, University of Missouri-Kansas City , Kansas City, Missouri , USA.
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITOchsner Medical Center · USPennington Biomedical Research Center · USSaint Luke's Hospital · USSapienza University of Rome · ITSt. Luke's-Roosevelt Hospital Center · USUniversity of Alabama at Birmingham · USUniversity of Missouri–Kansas City · US

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Kirk Michael Habegger · 2013 to 2026
$19.5M
NIDDK NIH HHS P30 DK079626
6 · The paper itself

Abstract

β-Blockers (BBs) are an essential class of cardiovascular medications for reducing morbidity and mortality in patients with heart failure (HF). However, a large body of data indicates that BBs should not be used as first-line therapy for hypertension (HTN). Additionally, new data have questioned the role of BBs in the treatment of stable coronary heart disease (CHD). However, these trials mainly tested the non-vasodilating β1 selective BBs (atenolol and metoprolol) which are still the most commonly prescribed BBs in the USA. Newer generation BBs, such as the vasodilating BBs carvedilol and nebivolol, have been shown not only to be better tolerated than non-vasodilating BBs, but also these agents do not increase the risk of diabetes mellitus (DM), atherogenic dyslipidaemia or weight gain. Moreover, carvedilol has the most evidence for reducing morbidity and mortality in patients with HF and those who have experienced an acute myocardial infarction (AMI). This review discusses the cornerstone clinical trials that have tested BBs in the settings of HTN, HF and AMI. Large randomised trials in the settings of HTN, DM and stable CHD are still needed to establish the role of BBs in these diseases, as well as to determine whether vasodilating BBs are exempt from the disadvantages of non-vasodilating BBs.

Indexed as

beta-blockerscarvedilolHEART FAILUREmyocardial infarction

Identifiers

PMID25821584
PMCPMC4371808
OpenAlexW2151325182

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.