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January 13, 1999

β-Blockers as First-Line Agents for Hypertension in the Elderly

Author Affiliations

Margaret A.WinklerMDIndividualAuthorPhil B.FontanarosaMD, Senior EditorsIndividualAuthor

JAMA. 1999;281(2):131-133. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-2-jac80019

To the Editor: The systematic review by Dr Messerli and colleagues1 based on 10 published studies concluded that diuretics are effective antihypertensive drugs, whereas β-blockers should no longer be considered to be appropriate first-line therapy for uncomplicated hypertension in the elderly. On the basis of the data presented, the first conclusion is quite acceptable, whereas the second is not.