Klin Farmakol Farm. 2025;39(3):150-154 | DOI: 10.36290/far.2025.057
Beta-blockers represent a traditional class of antihypertensive drugs, whose role in the treatment of arterial hypertension has evolved significantly over recent decades. While they are no longer recommended as first-line therapy for uncomplicated hypertension, they remain a key treatment option in certain clinical scenarios - particularly in patients with concomitant ischemic heart disease, a history of myocardial infarction, heart failure, tachyarrhythmias, or increased sympathetic activity in younger individuals. This review aims to summarize the mechanism of action of beta-blockers, evaluate available clinical evidence of their efficacy, compare them to other antihypertensives, and present their current role in accordance with the latest ESH 2023, ESC 2024, and Czech Hypertension Society 2022 guidelines.
Accepted: October 23, 2025; Published: October 30, 2025 Show citation
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