During the 1960s, Sir James W. Black developed propranolol,which the Nobel Committee in 1988 called "the greatest breakthroughwhen it comes to pharmaceuticals against heart illness sincethe discovery of digitalis 200 years ago."1 Black recognizedthat an agent that blocked the cardiac effects of epinephrinemight reduce ischemia and lower the risk of death by decreasingthe heart's demand for oxygen. A series of elegant randomizedclinical trials reported in the 1980s confirmed the value ofBlack's insight by showing that beta-blockers improve survivalafter myocardial infarction.2
In order to focus on the potential therapeutic benefit of beta-blockers,. . . [Full Text of this Article]
References
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