Research shows that more than 30% patients with hypertension have resting heart rate ≥80 beats/min.
An important mechanism of hypertension is the overactivation of sympathetic nervous system. What does sympathetic nerve activation mean? Its performance is high heart rate.
Overactivation of sympathetic nervous system is one of the important pathogenesis of hypertension. Young and middle-aged hypertensive patients ≤40 years old are more likely to be accompanied by sympathetic overactivation. Heavy work pressure, heavy psychological burden and unhealthy lifestyle are all factors that lead to excessive activation of sympathetic nerve.
Increased heart rate is an important risk factor for cardiovascular diseases, which significantly increases the risk of all-cause death and cardiovascular death. The results show that within a certain range, with the acceleration of heartbeat, the mortality rate is obviously increasing, especially for men. The results show that within a certain range, with the acceleration of heartbeat, the mortality rate is obviously increasing, especially for men. The risk of myocardial infarction and sudden death increases 14% for every five heart rate increases in the elderly.
If the resting heart rate is greater than 80; When the 24-hour ambulatory heart rate is greater than 75, we need to intervene; Clinically, hypertension is associated with a variety of cardiovascular diseases. We give different target heart rates according to different complicated hypertension diseases:
A, simple hypertension, heart rate had better drop below 80/ min at rest;
B, patients with hypertension complicated with heart failure suggest a resting heart rate of about 60 beats/min;
C for hypertension complicated with coronary heart disease, it is suggested that the resting heart rate should be controlled at 50-60 beats/min;
D, hypertension patients with aortic dissection heart rate control in 50-60 times/minute.
General hypertension complicated with increased heart rate, we will choose Betaloc, which can lower blood pressure and slow down heart rate, and can be used alone for mild hypertension or in combination with other antihypertensive drugs.
1, metoprolol tartrate 25mg, 1 tablet; Short-lived, twice a day.
2. Metoprolol succinate sustained-release tablets, 47.5mg, 1 tablet, long-acting, one day 1 time.
Specific usage and dosage should be based on everyone's basic blood pressure and heart rate, and the dosage of betaloc should be selected. Of course, betaloc also has some side effects, so you should pay attention when taking it.
In short, hypertension is often accompanied by increased heart rate, and both hypertension and increased heart rate will cause certain harm to the body; Therefore, friends with hypertension must effectively control blood pressure, which is beneficial to blood pressure control on the one hand and to reduce the risk of cardiovascular diseases on the other.