The mnemonic
BEAM
What each word stands for
- BBisoprolol (betaxolol is also beta-1 selective)
- EEsmolol
- AAtenolol
- MMetoprolol
Why it matters clinically
Beta-1 selectivity is preferred in patients with asthma or COPD, though selectivity is relative and lost at higher doses.
Where it stops being reliable
Leaves out nebivolol and acebutolol, which are also beta-1 selective, and the letters vary between sources. 'Cardioselective' does not mean safe in severe asthma.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.