Effect of beta-blockers on exercise double product (systolic blood pressure x heart rate)

Br J Clin Pharmacol. 1979;7 Suppl 2(Suppl 2):167S-172S. doi: 10.1111/j.1365-2125.1979.tb04687.x.

Abstract

1 The effect of single oral doses of six beta-receptor antagonists on exercise-induced changes in double product (systolic blood pressure x heart rate) were studied in 25 human volunteers. 2 Three doses of propranolol, nadolol, oxprenolol, pindolol, timolol and atenolol were selected for study on the basis of in vivo beta-blocking potency. 3 Although all beta-blockers studied reduced the double product response to exercise, the pharmacodynamics of this effect differed markedly. 4 Pharmacodynamic half-lives, estimated for the drug tested, were 39 h for nadolol, atenolol 21 h, timolol 15 h, oxprenolol 13 h, propranolol 11 and pindolol 8 h. 5 These results suggest that the clinical choice of a beta-blocker with the least problems of compliance can be made on the basis of pharmacodynamics as well as pharmacological profile.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adrenergic beta-Antagonists / pharmacology*
  • Adrenergic beta-Antagonists / therapeutic use
  • Adult
  • Atenolol / pharmacology
  • Blood Pressure / drug effects*
  • Drug Evaluation
  • Heart Rate / drug effects*
  • Humans
  • Kinetics
  • Male
  • Middle Aged
  • Oxprenolol / pharmacology
  • Physical Exertion
  • Pindolol / pharmacology
  • Propanolamines / pharmacology*
  • Propanolamines / therapeutic use
  • Propranolol / pharmacology
  • Time Factors
  • Timolol / pharmacology

Substances

  • Adrenergic beta-Antagonists
  • Propanolamines
  • Atenolol
  • Oxprenolol
  • Timolol
  • Propranolol
  • Pindolol