静息心率与高血压

RHR and Hypertension

高血压是心脑血管疾病最重要的危险因素。在高血压患者中,静息心率(RHR)增快较为常见,也是交感神经过度激活的标志。本文就RHR与高血压的关系以及高血压患者RHR增快的临床研究进展进行综述,发现RHR增快与高血压发病有密切关系,同时高血压患者RHR增快与靶器官损害相关,是高血压患者发生心血管事件和死亡的独立危险因素,也是心血管病发病和死亡的独立危险因素。在心血管病防治中,心率管理应与血压、血糖、血脂管理并重,成为临床治疗的靶点。心率是高血压病患者的重要预后因素,心率增快伴冠心病的高血压患者应首选β受体阻滞剂,RHR是指导用药的简便有效指标。

Hypertension is the most important hazardous factor of cardio-cerebrabvascular diseases. The accel- eration of RHR among patients of hypertension is a common scene, which is also a sign of the over-activation of sympathetic nerves. In this article the relationship between RHR and hypertension and the development of clinical research on the RHR acceleration of the patients of hypertension are comprehensively discussed, and it is discovered that the RHR acceleration and the hypertension attacks are closely related. Meanwhile, the RHR acceleration of Hypertension patients is also related to target organs, and it is an independent hazardous factor contributing to the cardiovascular attack and death of hypertension patients. In the prevention and treatment of cardiovascular diseases, the management of heart rate should be viewed as equally important to that of blood pressure, blood sugar and blood fat, and made the central target of clinical treatment. Heart rate is an impor- tant prognosis factor for hypertension patients. βreceptor deterrent is preferable in the case of hypertension pa- tients withRHR acceleration and coronary heart disease, and RHR is a simple and effective index for guiding medications.