Effects of short-term and long-term treatment with cardio-selective and non-selective beta-receptor blockade on carbohydrate and lipid metabolism and on plasma catecholamines at rest and during exercise

Clin Sci (Lond). 1981 Dec:61 Suppl 7:433s-435s. doi: 10.1042/cs061433s.

Abstract

1. The effects on glucose and lipid metabolism and on plasma catecholamines at rest and during exercise, of 4 weeks treatment with non-selective beta-blockade (pindolol, 15 mg daily) and with cardio-selective blockade (metoprolol, 200 mg, and acebutolol, 500 mg, respectively) were compared in different groups of hypertensive men (mean age 37 years) by single blind cross-over technique. All patients continued the treatment with either metoprolol or acebutolol for another 12--14 months. 2. All antagonists reduced blood pressures and exercise heart rates in a virtually identical manner. Whereas lipolysis was similarly inhibited by both selective beta 1-antagonists and non-selective beta 1-beta 2-blockers, glycogenolysis in the muscle was inhibited only by non-selective beta-receptor blockade. 3. The inhibition of glycogen breakdown resulted in exercise hypoglycaemia and in increases of plasma adrenaline and ACTH, which probably reflect counter-regulatory mechanisms. No major metabolic changes occurred after 12--14 months compared with 4 weeks of treatment.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • Acebutolol / therapeutic use*
  • Adult
  • Blood Glucose / metabolism
  • Dopamine / blood
  • Epinephrine / blood
  • Humans
  • Hypertension / drug therapy*
  • Lipids / blood
  • Long-Term Care
  • Metoprolol / therapeutic use*
  • Pindolol / therapeutic use*
  • Propanolamines / therapeutic use*

Substances

  • Blood Glucose
  • Lipids
  • Propanolamines
  • Acebutolol
  • Pindolol
  • Metoprolol
  • Dopamine
  • Epinephrine