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Cited by 381

The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.

Cardioselective beta-blockers for chronic obstructive pulmonary disease

Open access
Salpeter, Shelley R, Ormiston, Thomas M, Salpeter, Edwin E·2005·Cochrane Database of Systematic Reviews

Abstract

BACKGROUND: Beta-blocker therapy has a proven mortality benefit in patients with hypertension, heart failure and coronary artery disease, as well as during the perioperative period. These drugs have traditionally been considered contraindicated in patients with chronic obstructive pulmonary disease (COPD). OBJECTIVES: To assess the effect of cardioselective beta-blockers on respiratory function of patients with COPD. SEARCH STRATEGY: A comprehensive search of the Cochrane Airways Group Specialised Register (derived from systematic searches of CENTRAL, MEDLINE, EMBASE and CINAHL) was carried out to identify randomised blinded controlled trials from 1966 to May 2005. We did not exclude trials on the basis of language. SELECTION CRITERIA: Randomised, blinded, controlled trials of single dose or longer duration that studied the effects of cardioselective beta-blockers on the forced expiratory volume in 1 second (FEV1) or symptoms in patients with COPD. DATA COLLECTION AND ANALYSIS: Two independent reviewers extracted data from the selected articles, reconciling differences by consensus. Two interventions studied were the administration of beta-blocker, given either as a single dose or for longer duration, and the use of beta2-agonist given after the study drug. MAIN RESULTS: Eleven studies of single-dose treatment and 9 of treatment for longer durations, ranging from 2 days to 12 weeks, met selection criteria. Cardioselective beta-blockers, given as a single dose or for longer duration, produced no change in FEV1 or respiratory symptoms compared to placebo, and did not affect the FEV1 treatment response to beta2-agonists. A subgroup analysis revealed no change in results for those participants with severe chronic airways obstruction or for those with a reversible obstructive component. AUTHORS' CONCLUSIONS: Cardioselective beta-blockers, given to patients with COPD in the identified studies did not produce adverse respiratory effects. Given their demonstrated benefit in conditions such as heart failure, coronary artery disease and hypertension, cardioselective beta-blockers should not be routinely withheld from patients with COPD.

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Metadata

Authors
Salpeter, S. R., Ormiston, T. M., & Salpeter, E. E.
Venue
Cochrane Database of Systematic Reviews
Publisher
Wiley
Published
2005-10-19
Volume
2016
Issue
8
Pages
CD003566-CD003566
ISSN
  • 1361-6137 (ISSN-L)
  • 1465-1858
OpenAlex
W1960263711
Cited by
381
References
54
FWCI
11.35
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Cardioselective beta-blockers for chronic obstructive pulmonary disease. https://app.cochat.ai/papers/10.1002/14651858.cd003566.pub2
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Salpeter, S. R., Ormiston, T. M., & Salpeter, E. E. (2005). Cardioselective beta-blockers for chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd003566.pub2

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