The Drug-Induced Cardiotoxicity Website and App

Beta-blockers

ß-blocker drugs, especially the noncardioelective ones, are generally contraindicated in patients with asthma. In contrast, the risk-to-benefit ratio may be in favor of cardioselective beta-blockers in patients with COPD, especially those with a history of myocardial infarction (PMID 24277628). See under each specific beta-blocking agent

Frequency - Incidence

Incidence of cardiac adverse event(s) due to the specific drug as assessed by number of reported/published cases in the literature. Red digits in stars indicate: 0 = Very rare, questionable signal · 1 = < 10 cases · 2 = 10-50 cases · 3 = 50–100 cases · 4 = 100-200 cases · 5 = >200 cases

Evidence level/grade

Evidence level for cardiac adverse event(s) due to the specific drug as estimated using Hill’s (1965), Naranjo’s (1981), and Bégaud’s (1985) criteria applied to published cases. Blue digits in stars indicate: 0 = Questionable · 1 = Low · 2 = Moderate · 3 = Robust · 4 = Definite · 5 = Unquestionable, pathognomonic

I - Myocardial dysfunction - Heart failure

II - Cardiac arrhythmia(s)/dysrhythmia(s) (AF, VT, VF, TdP) - QTc prolongation)

III - Myocardial ischemia - Coronary artery disease

X - Pulmonary edema - ALI/ARDS

XI - Pulmonary vasculopathies

XII - Pericardial involvement

XIV - Pleural involvement

XXII - Acute respiratory/cardiorespiratory failure

XXIV - Interstitial lung disease - Pulmonary infiltrates - Pulmonary fibrosis

XXIX - Small airway involvement

XXXVI - Autoimmune syndromes - Systemic reactions or conditions

XXXVIII - Miscellaneous - Varia