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Moderate tachycardia in arterial hypertension: A point of application for pulse reducing drugs with antihypertensive activity

Oleynikov V. E., Lykjyanova M. V., Kulyutsin A.V., Gusakovskaya L.I.

Keywords: hyperpiesis, beta-adrenergic blocker agents, tachyarrhythmia, heart rate

DOI: 10.18087/rhj.2014.3.1938

Tachycardia, one of the key markers for autonomic imbalance, plays a critical role in development and progression of AH. Heart rate (HR) is significantly higher in AH patients than in normotensives, which is associated with persistent tachycardia in 31 % of cases. Increased sinus rhythm induced by the sympathetic hyperactivity provides BP elevation and correlates with incidence of LV hypertrophy, high rigidity and reduced compliance of arteries, and increased pulse wave velocity. The increased HR is associated with slower conductivity and increased abnormal automaticity and trigger activity, which result in reduced threshold of ventricular fibrillation. Tachycardia correlated with severity and progression of atherosclerosis. At present time, two drug classes are available, which reduce HR and BP, β-blockers and non-dihydropyridine calcium channel blockers. Expediency of β-blocker administration in AH is ambiguous.
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Oleynikov V. E., Lykjyanova M. V., Kulyutsin A.V. et al. Moderate tachycardia in arterial hypertension: A point of application for pulse reducing drugs with antihypertensive activity. Russian Heart Journal. 2014;77 (3):179–186

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