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Control of Blood Pressure within the Normal Range

Hypertensive should pay attention to heart rate

Too often, hypertensive patients only pay attention to the comprehensive management of blood pressure from such aspects as blood glucose and blood pressure, but neglect the monitoring of their heart rate. A hypertensive patient’s heart rate is closely associated with the incidence of cardiovascular events, and the faster a patient’s heart beats, the higher their risk of death will be, starting from the heart rate of 60 beats/min. The mortality of patients with a heart rate at 55-70 beats/min is the lowest. Therefore, when people with high blood pressure control their blood pressure, their heart rate should also meet the standards.

Ideal resting heart rate:

Increased heart rate reflects the excitation of sympathetic nerves, and sympathetic excitation is both a cause and result of hypertension. Increased heart rate leads to an increased incidence of hypertension, and conversely, high blood pressure can also result in injuries to the heart function, thereby increasing the heart rate. The heart rate of more than 30% of hypertensive patients exceeds 80 beats / min, and these patients are often the middle-aged. When their blood pressure is elevated, they have higher sympathetic excitability and are manifested as increased heart rate. The characteristic of these hypertensive patients is that they exhibit a more obvious increased heart rate when they are anxious and nervous. In the quiescent state, the heart rate of people with obesity and poor lifestyles is also faster than that of others.

Hypertensive patients with a heart rate over 80 beats/min will suffer from a double risk of coronary disease compared to those with a heart rate lower than 65 beats/min.

How to lower the heart rate

The improvement of lifestyles:

Drugs That Decrease Heart Rate

For hypertensive patients, managing their heart rate well is equivalent to installing a security lock for their lives.

Decreased heart rate is more conducive to the control of blood pressure. The heart rate of elderly people aged over 60 years is generally slower than that of young people, and the target control value of heart rate of elderly hypertensive patients should be 55-65 beats/min. The ideal heart rate of patients should be controlled at 55-70 beats/min, and when the quiescent heart rate is greater than 80 beats/min, heart rate management is needed. The requirements on patients with hypertension and concomitant coronary heart disease or heart failure are slightly higher, and the target heart rate is 55-60 beats/min. If the heart rate of patients can meet the standard, the incidence of serious events, such as sudden death, can be greatly reduced, and hypertensive patients' quality of life can be effectively improved.

While it does not mean the lower the heart rate is, the better. Bradycardia is also unfavorable to patients. If hypertensive patients also have arrhythmia, acute myocardial infarction, myocarditis, myocardiosis, sick sinus syndrome, coronary heart disease, intracranial hypertension, etc., their heart rate should not be lower than 50 beats/min.

Now many electronic sphygmomanometers can detect blood pressure as well as display heart rates. People with high blood pressure can pay attention to their heart rates when detecting their blood pressure at home or going to clinics.

Both healthy people and patients with cardiovascular diseases want a healthy heart rate, where the improvement of lifestyles is very important. When no obvious effects are yielded in improving lifestyles, patients can take drugs that inhibit sympathetic nerves while reducing their heart rates under the guidance of doctors. Currently, β-blockers are the most commonly used drugs to slow down heart rates. They can inhibit the over-activation of sympathetic nerves effectively and help people with high blood pressure control their heart rates within the optimum range, which plays an important role in the overall chain of cardiovascular diseases.

Next Page:
Management of hypertension in the elderly

See also:
Should patients take hypotensive before their return visits to doctor?
How to Recognize Antihypertensive drugs Side Effects?
Best Medication Time for High Blood Pressure
The Antihypertensive Characteristics of Antihypertensive Drugs and the Target People
High blood pressure changes during the day
Blood Pressure Monitoring
Control of Blood Pressure within the Normal Range
Masked hypertension (high blood pressure)
Necessary Tests and Examination for People with high blood pressure
How do Hypertensive Patients Lower Blood Pressure Stably?
Prevention of Low blood pressure (hypotension)

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