PMID- 33081551 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20210514 IS - 1473-2300 (Electronic) IS - 0300-0605 (Print) IS - 0300-0605 (Linking) VI - 48 IP - 10 DP - 2020 Oct TI - Efficacy and safety of nebivolol in hypertensive patients: a meta-analysis of randomized controlled trials. PG - 300060520931625 LID - 10.1177/0300060520931625 [doi] LID - 0300060520931625 AB - PURPOSE: Our meta-analysis was undertaken to evaluate the efficacy and safety of nebivolol compared with other second-generation beta blockers for hypertensive patients. METHODS: We searched PubMed, the Cochrane Library, EMBASE, and Clinical Trials.gov databases for randomized controlled trials (RCTs). The efficacy endpoints included systolic blood pressure (SBP), diastolic blood pressure (DBP), reduction of SBP and DBP, heart rate (HR), and adverse events (AEs). FINDINGS: Eight RCTs with 1514 patients met the inclusion criteria. HR was significantly lower in patients receiving other second-generation beta blockers compared with patients receiving nebivolol. There was no difference the reduction of blood pressure (SBP and DBP) or the reduction of SBP or DBP between the groups. The incidence of AEs was lower in patients taking nebivolol compared with patients taking other second-generation beta blockers. CONCLUSIONS: No significant difference was demonstrated between nebivolol and other second-generation beta blockers in the reduction of blood pressure, SBP, and DBP. The tolerability of nebivolol was significantly better compared with other second-generation beta blockers, and nebivolol was also associated with a stable HR and a lower risk of AEs compared with other second-generation beta blockers. FAU - Liu, Jun-Ying AU - Liu JY AD - Department of Cardiology, Cangzhou Central Hospital, Cangzhou, Hebei Province, China. FAU - Guo, Li-Na AU - Guo LN AD - Department of Plastic and Cosmetic Medicine, Cangzhou Central Hospital, Cangzhou, Hebei Province, China. FAU - Peng, Wan-Zhong AU - Peng WZ AD - Department of Cardiology, Cangzhou Central Hospital, Cangzhou, Hebei Province, China. FAU - Jiang, Yang AU - Jiang Y AD - Department of Cardiology, Cangzhou Central Hospital, Cangzhou, Hebei Province, China. FAU - Wang, Ai-Li AU - Wang AL AD - Department of Cardiology, Cangzhou Central Hospital, Cangzhou, Hebei Province, China. FAU - Guo, Xue-Min AU - Guo XM AD - Department of Cardiology, Cangzhou Central Hospital, Cangzhou, Hebei Province, China. FAU - Xu, Ze-Sheng AU - Xu ZS AUID- ORCID: 0000-0002-8781-6656 AD - Department of Cardiology, Cangzhou Central Hospital, Cangzhou, Hebei Province, China. LA - eng PT - Journal Article PT - Meta-Analysis PL - England TA - J Int Med Res JT - The Journal of international medical research JID - 0346411 RN - 0 (Antihypertensive Agents) RN - 030Y90569U (Nebivolol) SB - IM MH - *Antihypertensive Agents/adverse effects MH - Blood Pressure MH - Humans MH - *Hypertension/drug therapy MH - Nebivolol/pharmacology/therapeutic use MH - Randomized Controlled Trials as Topic PMC - PMC7588777 OTO - NOTNLM OT - Nebivolol OT - adverse events OT - diastolic blood pressure OT - heart rate OT - hypertension OT - meta-analysis OT - systolic blood pressure OT - beta blocker COIS- The authors declare that there is no conflict of interest. EDAT- 2020/10/22 06:00 MHDA- 2021/05/15 06:00 PMCR- 2020/10/20 CRDT- 2020/10/21 05:36 PHST- 2020/10/21 05:36 [entrez] PHST- 2020/10/22 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2020/10/20 00:00 [pmc-release] AID - 10.1177_0300060520931625 [pii] AID - 10.1177/0300060520931625 [doi] PST - ppublish SO - J Int Med Res. 2020 Oct;48(10):300060520931625. doi: 10.1177/0300060520931625.