Key result
Achieving target blood pressure levels remains the main priority in managing hypertensive disease, while heart rate lowering is advised primarily for patients with poor tolerance to tachycardia.
Why the study?
Does lowering heart rate reduce cardiovascular risk in patients with arterial hypertension?
Does lowering heart rate reduce cardiovascular risk in patients with arterial hypertension?
While high heart rate is a possible cardiovascular risk factor, achieving target blood pressure remains the primary goal in managing arterial hypertension.
BP control should remain the priority in hypertension; confirms consensus while leaving independent heart rate effects open.
The article shows the data concerning the effect of lowering the heart rate (HR) in patients with arterial hypertension (AH), in case of cardiovascular risk reduction in this category of patients. In the routine practice, the high HR can be considered as a possible cardiovascular risk factor, but HR is not included in the basic risk calculators as part of primary prevention. The European AH experts advise to prescribe the drugs with the effect of lowering the heart rate in people with subjective poor tolerance to the tachycardia. The patients should be informed about the beneficial effects of the regular aerobic physical activity concerning the management of HR and BP. The Achieving target BP levels is remained the main priority in the management of patient with hypertensive disease.
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Kobalava et al. (2015) conducted a review in Arterial hypertension. Heart rate lowering was evaluated. Achieving target blood pressure levels remains the main priority in managing hypertensive disease, while heart rate lowering is advised primarily for patients with poor tolerance to tachycardia.
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