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Rev Med Suisse. 2006 Jan 25;2(50):285-8.

[Beta-blockers and obstructive pulmonary diseases: such an odd couple?].

[Article in French]

Author information

1
Département de médecine interne, Service de médecine interne générale, HUG, Genève. olivier.grosgurin@hcuge.ch

Abstract

Chronic obstructive pulmonary disease is a frequent medical condition, mainly triggered by smoking. COPD patients often suffer from heart diseases that can benefit from beta-blocker therapy. However, fear from triggering latent bronchospasm, or from worsening it, leads to under-prescription of these agents. Adequate patient selection is, thus, crucial. Prescription of a cardio-selective beta-blocker is not only reasonably safe in stable COPD patients but it is also beneficial in terms of mortality in those patients with comorbid cardiac diseases. Use of beta-blockers is contra-indicated in the case of decompensated COPD with severe bronchospasm or in poorly controlled asthma. In all cases, close clinical and, sometimes, functional monitoring is mandatory.

PMID:
16503045
[Indexed for MEDLINE]

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