What type of patients do BBs lower BP?
hypertensive pts
NOT normotensive pts!!
Possible mechanism…
reduction of renin release from JGA
problems w/ this theory empirically based on plasma renin levels
Presynaptic autoreceptors…
enhance NE release
Long-term administration ultimately leads to…
fall in peripheral vascular resistance (MOA unknown)
Central CNS effects?
but drugs that poorly penetrate BBB are effective antihypertensives